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 |