FDA Adverse Event
Injury
Summary report: N
ACUITY STEERABLE
MDR report key: 3092823
·
Received May 3, 2013
Report
- Report Number
- 2124215-2013-04980
- Event Type
- Injury
- Date Received
- May 3, 2013
- Date of Event
- February 19, 2013
- Report Date
- February 29, 2024
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NVY
- UDI-DI
- 00802526419324
- PMA / PMN Number
- P050046/S000
- 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 |
|---|---|---|---|---|---|---|---|
| 195775 | ACUITY STEERABLE | PERMANENT DEFIBRILLATOR ELECTRODES | NVY | BOSTON SCIENTIFIC CORPORATION | 4554 | 191067 | 00802526419324 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Female | Life Threatening| H| R |