FDA Adverse Event
Malfunction
Summary report: N
MAXIMO VR
MDR report key: 17520712
·
Received August 12, 2023
Report
- Report Number
- MW5127660
- Event Type
- Malfunction
- Date Received
- August 12, 2023
- Report Date
- February 2, 2012
- Manufacturer
- MEDTRONIC
- Product Code
- LWS
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
CALL RECEIVED FROM MEDICAL CLINIC ON 01/04/2012 STATES: SAVE TO DISK FOR DEVICE THAT HAD POR. NO PHYSICIAN OR HOSPITAL KNOWN. 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 |
|---|---|---|---|---|---|---|---|
| 762636 | MAXIMO VR | IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (NON-CRT) | LWS | MEDTRONIC | 7232CX |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |