BEUDAMED
    FDA Adverse Event Injury Summary report: N

    IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT)

    MDR report key: 3071491 · Received April 22, 2013

    Report

    Report Number
    2124215-2013-03658
    Event Type
    Injury
    Date Received
    April 22, 2013
    Date of Event
    February 12, 2013
    Report Date
    February 29, 2024
    Manufacturer
    BOSTON SCIENTIFIC CORPORATION
    Product Code
    LWP
    PMA / PMN Number
    P010012/S031
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    003

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    173201 IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT) LWP BOSTON SCIENTIFIC CORPORATION H210 202322

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Male Life Threatening| H| R