Brand Name | QUARTET LEAD SMALL-S, 86 CM |
Type of Device | DEFIBRILLATOR, AUTOMATIC IMPLANTABLE CARDIOVERTER, WITH CARDIAC RESYNCHRONIZATIO |
Manufacturer (Section D) |
|
MDR Report Key | 17489689 |
MDR Text Key | 320702562 |
Report Number | MW5122216 |
Device Sequence Number | 1 |
Product Code |
NIK
|
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
03/06/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
No
|
Device Model Number | 1456Q |
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 08/09/2023 |
Patient Sequence Number | 1 |
|
|