BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC, INC

    MDR report key: 296991 · Received April 26, 2000

    Report

    Report Number
    296991
    Event Type
    Injury
    Date Received
    April 26, 2000
    Date of Event
    February 21, 2000
    Report Date
    April 3, 2000
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    LWS
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DESCRIBE EVENT OR PROBLEM: UNABLE TO PROGRAM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC, INC IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR LWS MEDTRONIC, INC. 17989 *
    2 MEDTRONIC INC DEFIBRILLATOR LEAD LWS MEDTRONIC INC 6933 *

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Required Intervention