BEUDAMED
    FDA Adverse Event Death Summary report: N

    *

    MDR report key: 831612 · Received February 10, 2005

    Report

    Report Number
    2182208-2002-00204
    Event Type
    Death
    Date Received
    February 10, 2005
    Date of Event
    February 5, 2002
    Manufacturer
    MEDTRONIC INC., CARDIAC RHYTHM MANAGEMENT DIVISION
    Product Code
    DTF
    Removal / Correction Number
    NI
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * PERMANENT LEAD INTRODUCER DTF MEDTRONIC INC., CARDIAC RHYTHM MANAGEMENT DIVISION 6210BTK NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other