FDA Adverse Event
Malfunction
Summary report: N
LINOX TD 65/18
MDR report key: 1172180
·
Received September 18, 2008
Report
- Report Number
- 1028232-2008-01093
- Event Type
- Malfunction
- Date Received
- September 18, 2008
- Date of Event
- June 13, 2008
- Report Date
- August 21, 2008
- Manufacturer
- BIOTRONIK GMBH AND CO.
- Product Code
- LWS
- PMA / PMN Number
- P980023
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
DURING THE ANALYSIS, THE MECHANICAL AND ELECTRICAL PROPERTIES OF THE LEAD WERE TESTED. THE LEAD WAS RETURNED, CUT THROUGH AT 14 CM DISTAL OF THE CONNECTOR PIN. THERE WERE NO DEVIATIONS FROM THE TECHNICAL SPECIFICATIONS AT THE LEAD FRAGMENTS, WHICH COULD BE RELATED TO THE CLINICAL COMPLAINT. IN PARTICULAR, NO DAMAGE TO THE ELECTRICAL INSULATION WAS DETECTED. THE ELECTRICAL CHECK OF THE FRAGMENTS DID NOT SHOW ANY ANOMALIES. THERE WERE NO INDICATIONS OF MATERIAL DEFECTS OR MANUFACTURING ERRORS.
Description of Event or Problem · 1
AN INCREASE IN THE PACING THRESHOLD, MULTIPLE PACING LOSSES, AND A DECREASE IN SENSING WERE REPORTED 2 DAYS AFTER THE IMPLANTATION OF THE ICD. THE LEAD WAS EXCHANGED.
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 | UNK | Hospitalization |