BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 2820272 · Received September 21, 2012

    Report

    Report Number
    2820272
    Event Type
    Malfunction
    Date Received
    September 21, 2012
    Date of Event
    September 7, 2012
    Report Date
    September 21, 2012
    Manufacturer
    MEDTRONIC NEUROMODULATION
    Product Code
    GZB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * STIMULATOR, SPINAL-CORD, IMPLANTED (PAIN RELIEF) GZB MEDTRONIC NEUROMODULATION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR