BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CADENCE V-110C

    MDR report key: 231140 · Received July 9, 1999

    Report

    Report Number
    231140
    Event Type
    Injury
    Date Received
    July 9, 1999
    Date of Event
    June 1, 1999
    Report Date
    July 9, 1999
    Manufacturer
    VENTRITEX
    Product Code
    LWS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT PRESENTED TO DEFIBRILLATOR CLINIC ON 06/01/1999 PACEMAKER WAS PROGRAMMED TO "WI" RATE OF 40, PACING WAS DOCUMENTED VIA EKG AT APPROX 117 BPM. DEVICE COULD NOT BE INTERROGATED. ICD REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CADENCE V-110C Implant ICD LWS VENTRITEX V-110C NI

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization| R