FDA Adverse Event
Injury
Summary report: N
MEDTRONIC, INC.
MDR report key: 807378
·
Received January 3, 2007
Report
- Report Number
- 807378
- Event Type
- Injury
- Date Received
- January 3, 2007
- Date of Event
- December 11, 2006
- Report Date
- December 29, 2006
- Manufacturer
- MEDTRONIC, INC.
- Product Code
- DXY
- Report Source
- User Facility report
- Reporter Location
- HI, US
- Reporter Occupation
- RISK MANAGER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MEDTRONIC, INC. | GENERATOR | DXY | MEDTRONIC, INC. | 7960 | NA | |
| 2 | MEDTRONIC, INC. | LEAD | DTB | MEDTRONIC, INC. | 5034-52 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 86 YR | Required Intervention |