FDA Adverse Event Injury Summary report: N

FINELINE II EZ STEROX BIPOLAR IS-1 POSITIVE FIX STEROID RA/RV

MDR report key: 1684091 · Received May 7, 2010

Report

Report Number
2124215-2010-01996
Event Type
Injury
Date Received
May 7, 2010
Date of Event
January 15, 2010
Report Date
May 7, 2010
Manufacturer
CPI - DEL CARIBE
Product Code
DTB
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FINELINE II EZ STEROX BIPOLAR IS-1 POSITIVE FIX STEROID RA/RV IMPLANTABLE LEAD DTB CPI - DEL CARIBE 4470 NA

Patients

Seq Age Sex Outcome Treatment
1 45 YR Required Intervention