BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC 6944/65

    MDR report key: 3101344 · Received May 3, 2013

    Report

    Report Number
    MW5030088
    Event Type
    Injury
    Date Received
    May 3, 2013
    Date of Event
    April 2, 2013
    Report Date
    May 3, 2013
    Manufacturer
    MEDTRONIC
    Product Code
    LWS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    EPISODES OF NSVT WERE REVIEWED AND CLEAR NOISE IS SEEN CORRESPONDING TO SHORT V-V INTERVALS. SHORT V-V INTERVALS WERE REPORTED UP TO 1365. LEAD WAS DISABLED AND PATIENT WORE LIFE VEST UNTIL NEW LEAD IMPLANTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    194552 MEDTRONIC 6944/65 SPRINT QUATRO LWS MEDTRONIC 6499/65 MFR

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Required Intervention