BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC

    MDR report key: 225711 · Received May 28, 1999

    Report

    Report Number
    MW1016417
    Event Type
    Other
    Date Received
    May 28, 1999
    Date of Event
    March 26, 1999
    Report Date
    May 12, 1999
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    LKK
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    MEDTRONIC PUMP WAS NOT WORKING SO IT WAS REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC Implant SYNCHROMED PUMP LKK MEDTRONIC, INC. * L61548

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Other CATHETER.