FDA Adverse Event Summary report: N

ASKU

MDR report key: 1792310 · Received August 10, 2010

Report

Report Number
2183613-2010-00108
Date Received
August 10, 2010
Manufacturer
MEDTRONIC MILACA INC.
Product Code
DTE
PMA / PMN Number
P820003/S72
Removal / Correction Number
ASKU
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE WAS STERILIZED WHILE BATTERY WAS IN PLACE. NO PATIENT INVOLVEMENT WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE WAS STERILIZED WHILE THE BATTERY WAS IN PLACE. THERE WAS NO PATIENT INVOLVEMENT WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ASKU ASKU DTE MEDTRONIC MILACA INC. 5388 ASKU

Patients

Seq Age Sex Outcome Treatment
1 Other