FDA Adverse Event Injury Summary report: N

LINOX TD 65/18

MDR report key: 1032067 · Received April 21, 2008

Report

Report Number
1028232-2008-00381
Event Type
Injury
Date Received
April 21, 2008
Date of Event
March 7, 2008
Report Date
March 20, 2008
Manufacturer
BIOTRONIK GMBH AND CO.
Product Code
LWS
PMA / PMN Number
P980023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PER REP., THIS LEFT-SIDED SYSTEM WAS REMOVED DUE TO INFECTION AND EROSION. PT. HAS VERY THIN SKIN AND THIS IS THE SECOND INFECTION FOR THE PT. AND THE FIRST EROSION. THE LEAD WOULD NOT COME OUT AND WILL BE LASERED OUT IF NEED BE. THEREFORE, IT WILL NOT BE RETURNED TO BINC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LINOX TD 65/18 ICD LEAD LWS BIOTRONIK GMBH AND CO. 351338

Patients

Seq Age Sex Outcome Treatment
1 69 YR Hospitalization