BEUDAMED
    FDA Adverse Event Other Summary report: N

    VENTRICULAR UNIPOLAR LEAD

    MDR report key: 24336 · Received July 18, 1995

    Report

    Report Number
    24336
    Event Type
    Other
    Date Received
    July 18, 1995
    Date of Event
    July 4, 1995
    Report Date
    July 13, 1995
    Manufacturer
    MEDTRONIC
    Product Code
    DTB
    Report Source
    User Facility report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT HAD SYNCOPAL EPISODE ON 7/4/95.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VENTRICULAR UNIPOLAR LEAD Implant LEAD DTB MEDTRONIC 4023-58

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other (956-1960)| MFR WOULD LIKE LEAD RETURNED TO DAVE HAWK