BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC

    MDR report key: 296829 · Received September 20, 2000

    Report

    Report Number
    296829
    Event Type
    Other
    Date Received
    September 20, 2000
    Date of Event
    March 9, 2000
    Report Date
    May 26, 2000
    Manufacturer
    MEDTRONIC, INC
    Product Code
    DTB
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE LEAD WAS EASILY REMOVED AND A NEW VENTRICULAR LEAD WAS AFFIXED TO THE RIGHT VENTRICULAR OUT FLOW TRACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC PACEMAKER LEAD DTB MEDTRONIC, INC 5068-58 *

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Other