BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDTRONIC

    MDR report key: 528456 · Received November 17, 2003

    Report

    Report Number
    528456
    Event Type
    Other
    Date Received
    November 17, 2003
    Date of Event
    September 9, 2003
    Report Date
    October 27, 2003
    Manufacturer
    MEDTRONIC
    Product Code
    LKK
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC EPIDURAL PAIN PUMP LKK MEDTRONIC UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other