MAUDE report

MAUDE report 12021

Injury · received Jan 27, 1994 · MEDTRONIC

Key facts

MDR report key 12021
Report number 12021
Event type Injury
Model number 4004M
Catalog number LAZ051198V
Manufacturer MEDTRONIC
Product code DTB
Device class Class III
Date received by FDA Jan 27, 1994
Report date Jan 26, 1994
Report source Maude

At a glance

  • None Device problems coded
  • 1,000+ MAUDE reports for this product code
  • No Adverse event flagged
  • Yes Product problem flagged

Counts are shown as ranges. Exact figures, trends and every underlying record are available in Orca1.

About MAUDE medical device reports

MAUDE holds medical device reports (MDRs) of suspected device-associated deaths, serious injuries and malfunctions submitted to the FDA by manufacturers, importers, user facilities and the public. A report alone does not establish that a device caused an event.

Source: U.S. Food and Drug Administration (FDA), MAUDE (Manufacturer and User Facility Device Experience) database · Source date:

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