FDA Adverse Event
Injury
Summary report: N
2183613-1999-00015
MDR report key: 265353
·
Received September 8, 1999
Report
- Report Number
- 2183613-1999-00015
- Event Type
- Injury
- Date Received
- September 8, 1999
- Removal / Correction Number
- NI
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NO INFORMATION
Narratives
Description of Event or Problem · 1
CLINICIANS OBSERVED ECTOPY. WHEN PACEMAKER WAS SHUT OFF, PT RESUMED NORMAL RHYTHM. PACEMAKER BELIEVED TO HAVE CAUSED ECTOPY AND SUBSEQUENT V-FIB.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 000 | Other | 5433V INSTRUMENT CABLE |