FDA Adverse Event Injury Summary report: N

DYC 60 UP

MDR report key: 50129 · Received November 15, 1996

Report

Report Number
1028232-1996-00037
Event Type
Injury
Date Received
November 15, 1996
Date of Event
January 22, 1996
Report Date
November 12, 1996
Manufacturer
BIOTRONIC, GMBH
Product Code
DTB
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

NO STIMULATION. X-RAY INDICATES THAT THE LEAD IS CLAMPED BETWEEN THE FIRST RIB AND CLAVICLE "SUBCLAVIAN CRUSH".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DYC 60 UP Implant LEAD, PACEMAKER DTB BIOTRONIC, GMBH DYC 60 UP NA

Patients

Seq Age Sex Outcome Treatment
1 * Hospitalization