FDA Adverse Event Injury Summary report: N

TRIFECTA STENTED TISSUE VALVE, IDE

MDR report key: 3201502 · Received June 28, 2013

Report

Report Number
8020430-2013-00004
Event Type
Injury
Date Received
June 28, 2013
Date of Event
June 21, 2013
Report Date
June 24, 2013
Manufacturer
ST. JUDE MEDICAL CANADA, INC.
Product Code
LWR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
67298 TRIFECTA STENTED TISSUE VALVE, IDE TISSUE (HEART VALVE LWR ST. JUDE MEDICAL CANADA, INC. TF-25A-IDE

Patients

Seq Age Sex Outcome Treatment
1