FDA Adverse Event Other Summary report: N

ISOLINE

MDR report key: 1085178 · Received July 25, 2008

Report

Report Number
2182863-2008-00043
Event Type
Other
Date Received
July 25, 2008
Date of Event
June 16, 2008
Report Date
July 25, 2008
Manufacturer
SORIN BIOMEDICA CRM S.R. L.
Product Code
DTB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

COILS STRETCHED DURING IMPLANT PROCEDURE, THE LEAD WAS NOT IMPLANTED. THE ANALYSIS ON THIS DEVICE IS PENDING.

Description of Event or Problem · 1

DURING THE IMPLANTATION PROCEDURE, THE COIL ON THIS LEAD GOT STRETCHED OUT. REPORTEDLY, THERE WAS DIFFICULT VENOUS ACCESS. THEREFORE, THE LEAD WAS NOT IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ISOLINE 2CR-5 DTB SORIN BIOMEDICA CRM S.R. L. 2CR-5

Patients

Seq Age Sex Outcome Treatment
1 Other