BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FLEXTEND

    MDR report key: 2922606 · Received January 18, 2013

    Report

    Report Number
    2124215-2012-13141
    Event Type
    Injury
    Date Received
    January 18, 2013
    Date of Event
    July 11, 2012
    Report Date
    April 1, 2024
    Manufacturer
    BOSTON SCIENTIFIC CORPORATION
    Product Code
    DTB
    PMA / PMN Number
    P960006/S005
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    28689 FLEXTEND PERMANENT PACEMAKER ELECTRODE DTB BOSTON SCIENTIFIC CORPORATION 4086

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR Male Life Threatening