BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CARDIAC PACEMAKERS, INC.

    MDR report key: 24220 · Received January 25, 1995

    Report

    Report Number
    24220
    Event Type
    Injury
    Date Received
    January 25, 1995
    Date of Event
    November 29, 1993
    Report Date
    November 30, 1993
    Manufacturer
    CARDIAC PACEMAKERS, INC.
    Product Code
    DRK
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AICD WAS CHANGED DUE TO INAPPROPRIATE SHOCKS BEING DELIVERED TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CARDIAC PACEMAKERS, INC. Implant AUTOMATIC IMPLANTABLE CARDIO-DEEFIBRILLATOR DRK CARDIAC PACEMAKERS, INC. 1600

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Hospitalization