FDA Adverse Event
Malfunction
Summary report: N
2030404-2010-00083
MDR report key: 1779186
·
Received July 29, 2010
Report
- Report Number
- 2030404-2010-00083
- Event Type
- Malfunction
- Date Received
- July 29, 2010
- Date of Event
- February 2, 2010
- Report Date
- September 27, 2010
- Manufacturer
- ST. JUDE MEDICAL, IRVINE
- PMA / PMN Number
- P060019
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 1 MO | Male |