BEUDAMED
    FDA Adverse Event Death Summary report: N

    MEDTRONIC

    MDR report key: 548806 · Received July 28, 2004

    Report

    Report Number
    MW1032853
    Event Type
    Death
    Date Received
    July 28, 2004
    Date of Event
    July 28, 2003
    Report Date
    July 28, 2004
    Manufacturer
    MEDTRONIC, INC.
    Product Code
    LDD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    DEFIBRILLATOR MADE BY MEDTRONIC, INC. & SPINALPAK MADE BY BIOLECTRON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC DEFIBRILLATOR LDD MEDTRONIC, INC. * *
    2 SPINALPAK * LOF BIOLECTRON * *

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Death