FDA Adverse Event
Injury
Summary report: N
2649622-2010-05521
MDR report key: 1992699
·
Received February 15, 2011
Report
- Report Number
- 2649622-2010-05521
- Event Type
- Injury
- Date Received
- February 15, 2011
- Date of Event
- March 18, 2010
- Report Date
- February 25, 2024
- Manufacturer
- MPRI
- PMA / PMN Number
- P920015
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 39 YR | Female | Hospitalization| R | D284VRC ICD |