BEUDAMED
    FDA Adverse Event Death Summary report: N

    CONTOUR MD V-175AC SERIES TIERED THERAPY DEFIB.

    MDR report key: 310491 · Received December 27, 2000

    Report

    Report Number
    2938836-2000-00280
    Event Type
    Death
    Date Received
    December 27, 2000
    Date of Event
    November 20, 2000
    Report Date
    November 20, 2000
    Manufacturer
    ST. JUDE MEDICAL, INC., CRMD
    Product Code
    LWS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CONTOUR MD V-175AC SERIES TIERED THERAPY DEFIB. IMPLANTABLE CARDIAC DEFIBRILLATOR LWS ST. JUDE MEDICAL, INC., CRMD V-175AC NA

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Death SP02, THERAPY DATES: NA.