BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC, INC.

    MDR report key: 296961 · Received April 26, 2000

    Report

    Report Number
    296961
    Event Type
    Injury
    Date Received
    April 26, 2000
    Date of Event
    November 23, 1999
    Report Date
    February 29, 2000
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    DTB
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    UNEXPLAINED LOSS OF CAPTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC, INC. V LEAD DTB MEDTRONIC, INC. 5071-35 *

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Hospitalization