FDA Adverse Event Death Summary report: N

NONE

MDR report key: 630569 · Received November 7, 2003

Report

Report Number
6000095-2003-00003
Event Type
Death
Date Received
November 7, 2003
Date of Event
July 8, 2003
Manufacturer
VITATRON MEDICAL B.V.
Product Code
DTF
Removal / Correction Number
NI
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NONE PERMANENT LEAD INTRODUCER DTF VITATRON MEDICAL B.V. VIK9S5 NA

Patients

Seq Age Sex Outcome Treatment
1 000 Death