BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROGRAMMER, PACEMAKER

    MDR report key: 3070601 · Received April 22, 2013

    Report

    Report Number
    2124215-2012-16615
    Event Type
    Injury
    Date Received
    April 22, 2013
    Date of Event
    December 12, 2012
    Report Date
    April 1, 2024
    Manufacturer
    BOSTON SCIENTIFIC CORPORATION
    Product Code
    KRG
    PMA / PMN Number
    P960040/S039
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PO
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    173202 PROGRAMMER, PACEMAKER KRG BOSTON SCIENTIFIC CORPORATION T177 107912

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown Life Threatening