BEUDAMED
    FDA Adverse Event Injury Summary report: N

    43100A

    MDR report key: 310386 · Received December 26, 2000

    Report

    Report Number
    MW1020701
    Event Type
    Injury
    Date Received
    December 26, 2000
    Date of Event
    December 1, 2000
    Report Date
    December 8, 2000
    Manufacturer
    AGILENT TECHNOLOGIES
    Product Code
    LDD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 43100A CARDIOVERTER LDD AGILENT TECHNOLOGIES 43100A *

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Life Threatening