BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDTRONICS INC.

    MDR report key: 233442 · Received July 27, 1999

    Report

    Report Number
    233442
    Event Type
    Malfunction
    Date Received
    July 27, 1999
    Date of Event
    October 30, 1998
    Report Date
    November 9, 1998
    Manufacturer
    MEDTRONIC INC.
    Product Code
    DXY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    LEAD MALFUNCTION AND GENERATION UPDATED. LEAD LEFT IN PLACE, UNABLE TO REMOVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONICS INC. Implant IMPLANTABLE CARDIAC DEFIBRILLATOR GENERATOR DXY MEDTRONIC INC. 7223CX (GENERATOR) UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR