BEUDAMED
    FDA Adverse Event Death Summary report: N

    DISPOSABLE CABLE EXTENSIONS

    MDR report key: 21748602 · Received April 1, 2025

    Report

    Report Number
    2017865-2025-39062
    Event Type
    Death
    Date Received
    April 1, 2025
    Date of Event
    March 11, 2025
    Report Date
    April 1, 2025
    Manufacturer
    ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
    Product Code
    DSA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THE PATIENT PRESENTED FOR AN IMPLANT PROCEDURE. THE DAY AFTER THE PROCEDURE, THE PATIENT PASSED AWAY. THERE IS NO KNOWN ALLEGATION FROM A HEALTH CARE PROFESSIONAL THAT SUGGESTS THAT THE DEATH WAS DEVICE RELATED. THE CAUSE OF DEATH WAS UNKNOWN. NO ADDITIONAL INFORMATION WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2698538 DISPOSABLE CABLE EXTENSIONS CABLE, TRANSDUCER AND ELECTRODE, PATIENT, (INCLUDING CONNECTOR) DSA ST. JUDE MEDICAL, INC.(CRM-SYLMAR) 4051L 2400408

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Death