BEUDAMED
    FDA Adverse Event Summary report: N

    RIATA

    MDR report key: 3200858 · Received June 26, 2013

    Report

    Report Number
    3200858
    Date Received
    June 26, 2013
    Date of Event
    June 25, 2013
    Report Date
    June 26, 2013
    Manufacturer
    ST. JUDE MEDICAL
    Product Code
    LWS
    Report Source
    User Facility report
    Reporter Location
    NC, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    291366 RIATA IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (NON-CRT) LWS ST. JUDE MEDICAL 7000-65 *

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR