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