BEUDAMED
    FDA Adverse Event Death Summary report: N

    CARDIO PACEMAKER

    MDR report key: 17469495 · Received August 4, 2023

    Report

    Report Number
    MW5120626
    Event Type
    Death
    Date Received
    August 4, 2023
    Date of Event
    February 1, 2021
    Report Date
    August 2, 2023
    Manufacturer
    UNK
    Product Code
    DXY
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    I HAD A BROTHER WHO WAS IMPLANTED WITH A CARDIAC RHYTHM STIMULATION DEVICE. IT STARTED TO MALFUNCTION AND HE SLUMPED TO NEAR DEATH AROUND 4PM. HE DIED WHILE WAITING TO GET TO HOSPITAL. HE WAS A DEPARTMENT OF VETERANS AFFAIRS PATIENT AND VIETNAM ERA MARINE. MY NAME (B)(6). TODAY IS 08/02/2023. I'M FILING CIVIL ACTION IN COURTS FOR DAMAGES FROM KNOWN DAMNUM. FDA/MEDICAL CENTER/MANUFACTURER SINCE 2005 AND EVEN NOW 2023. DAMAGES INCLUDE EXEMPLARY AND PUNITIVE DAMAGES. THANK YOU VERY MUCH, (B)(6), COMPLAINANT. AUGUST 2, 2023. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2335517 CARDIO PACEMAKER IMPLANTABLE PACEMAKER PULSE-GENERATOR DXY UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Male Hospitalization| S| D| L| R