BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GUIDANT CORP

    MDR report key: 789831 · Received November 16, 2006

    Report

    Report Number
    789831
    Event Type
    Injury
    Date Received
    November 16, 2006
    Date of Event
    April 19, 2006
    Report Date
    November 9, 2006
    Manufacturer
    GUIDANT CORP
    Product Code
    LWS
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    HI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    ICD DISCHARGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GUIDANT CORP ICD GENERATOR LWS GUIDANT CORP H179 NA
    2 GUIDANT CORP ICD GENERATOR LWS GUIDANT CORP 6744 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Required Intervention