FDA Adverse Event
Injury
Summary report: N
SETROX S 53
MDR report key: 1013612
·
Received March 13, 2008
Report
- Report Number
- 1028232-2008-00232
- Event Type
- Injury
- Date Received
- March 13, 2008
- Date of Event
- January 18, 2008
- Report Date
- February 18, 2008
- Manufacturer
- BIOTRONIK GMBH AND CO.
- Product Code
- DTB
- PMA / PMN Number
- P950037
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
PER OOS, THIS SYSTEM WAS REMOVED BECAUSE THE PT. HAD MRSA. IT WILL NOT BE RETURNED TO BINC. ALSO REMOVED: LUMAX 340 DR-T, MDR 1028232-2008-00229 SELOX JT 53, MDR 1028232-2008-00230 KENTROX SLS 65/16, MDR 1028232-2008-00231.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SETROX S 53 | PACER LEAD | DTB | BIOTRONIK GMBH AND CO. | 350974 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 42 YR | Hospitalization |