FDA Adverse Event Injury Summary report: N

LEXOS VR-T

MDR report key: 1051874 · Received May 21, 2008

Report

Report Number
1028232-2008-00523
Event Type
Injury
Date Received
May 21, 2008
Date of Event
December 7, 2007
Report Date
April 23, 2008
Manufacturer
BIOTRONIK GMBH AND CO.
Product Code
LWS
PMA / PMN Number
P980023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE ANALYSIS OF THE ICD DID NOT SHOW ANY INDICATIONS OF A DEVICE MALFUNCTION. THE CONSIDERABLE AMOUNT OF 618 CHARGE PROCESSES WAS THE RESULT OF THE DETECTION OF INTERFERENCE SIGNALS, WHICH HAD PROBABLY BEEN CAUSED BY A DEFECT LEAD INSULATION. AFTER SUCH A HIGH AMOUNT OF CHARGE PROCESSES, THE BATTERY STATUS EOS IS TO BE EXPECTED.

Description of Event or Problem · 1

AFTER AN IMPLANTATION TIME OF ABOUT 6 MONTHS, PREMATURE BATTERY DEPLETION AND OVERSENSING WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LEXOS VR-T ICD LWS BIOTRONIK GMBH AND CO. 346999

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization