FDA Adverse Event Death Summary report: N

4905510

MDR report key: 4905510 · Received July 10, 2015

Report

Report Number
4905510
Event Type
Death
Date Received
July 10, 2015
Date of Event
January 16, 2015
Report Date
June 18, 2015
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

FREEDOM DRIVER FAULT ALARM

Patients

Seq Age Sex Outcome Treatment
1 37 YR Congenital Anomaly| D