FDA Adverse Event Injury Summary report: N

MEDTRONIC INC.

MDR report key: 807386 · Received January 3, 2007

Report

Report Number
807386
Event Type
Injury
Date Received
January 3, 2007
Date of Event
December 8, 2006
Report Date
December 29, 2006
Manufacturer
MEDTRONIC, INC.
Product Code
DTB
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. PACEMAKER DTB MEDTRONIC, INC. 8416 NA

Patients

Seq Age Sex Outcome Treatment
1 87 YR Required Intervention