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 |