BEUDAMED
    FDA Adverse Event Death Summary report: N

    INTERNAL DEFIBRILLATOR

    MDR report key: 34341 · Received July 15, 1996

    Report

    Report Number
    34341
    Event Type
    Death
    Date Received
    July 15, 1996
    Date of Event
    July 6, 1996
    Report Date
    July 15, 1996
    Manufacturer
    CARDIAC PACEMAKER, INC.
    Product Code
    LWS
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FOUND COLLAPSED IN A PARKING LOT NEAR HIS HOME. BROUGHT TO THE EMERGENCY DEPT VIA AMBULANCE. EMERGENCY RESUSCITATION UNSUCCESSFUL. MEDICAL EXAMINER CALLED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTERNAL DEFIBRILLATOR Implant INTERNAL DEFIBRILLATOR LWS CARDIAC PACEMAKER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Death