BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC

    MDR report key: 515056 · Received March 2, 2004

    Report

    Report Number
    515056
    Event Type
    Injury
    Date Received
    March 2, 2004
    Date of Event
    December 5, 2003
    Report Date
    March 1, 2004
    Manufacturer
    MEDTRONIC
    Product Code
    LWQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NE, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REMOVAL AND REPLACEMENT OF STENOSED PROSTHETIC TRICUPSID VALVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC TRICUSPID VALVE LWQ MEDTRONIC 305 *

    Patients

    Seq Age Sex Outcome Treatment
    1 27 YR Hospitalization