FDA Adverse Event Other Summary report: N

PERMANENT DEFIBRILLATOR ELECTRODES

MDR report key: 17481031 · Received August 8, 2023

Report

Report Number
MW5120734
Event Type
Other
Date Received
August 8, 2023
Date of Event
January 19, 2021
Report Date
August 1, 2023
Manufacturer
ST. JUDE/ABBOTT MEDICAL
Product Code
NVY
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
OTHER
Health Professional
*

Narratives

Description of Event or Problem · 0

RV (RIGHT VENTRICULAR) BIPOLAR LEAD IMPEDANCE WARNING ON (B)(6) 2021. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2100187 PERMANENT DEFIBRILLATOR ELECTRODES PERMANENT DEFIBRILLATOR ELECTRODES NVY ST. JUDE/ABBOTT MEDICAL 7022

Patients

Seq Age Sex Outcome Treatment
1 Unknown