BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC

    MDR report key: 504054 · Received December 31, 2003

    Report

    Report Number
    504054
    Event Type
    Other
    Date Received
    December 31, 2003
    Report Date
    September 1, 2003
    Manufacturer
    MEDTRONIC INC.
    Product Code
    DTB
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC PACEMAKER LEAD DTB MEDTRONIC INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN