BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC, INC.

    MDR report key: 295395 · Received August 28, 2000

    Report

    Report Number
    295395
    Event Type
    Injury
    Date Received
    August 28, 2000
    Date of Event
    May 9, 2000
    Report Date
    May 22, 2000
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    LWS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PT RECEIVED INAPPROPRIATE SHOCKS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC, INC. ICD LEAD LWS MEDTRONIC, INC. 6936 *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Hospitalization| R