BEUDAMED
    FDA Adverse Event Other Summary report: N

    BELOS VR-T

    MDR report key: 476479 · Received July 31, 2003

    Report

    Report Number
    1028232-2003-00258
    Event Type
    Other
    Date Received
    July 31, 2003
    Report Date
    July 28, 2003
    Manufacturer
    BIOTRONIK GMBH & CO.
    Product Code
    LWS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PER PMI OF 3/21/2003.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BELOS VR-T ICD LWS BIOTRONIK GMBH & CO. 331 135 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization