FDA Adverse Event Injury Summary report: N

LINOX SD 65/16

MDR report key: 1252387 · Received December 4, 2008

Report

Report Number
1028232-2008-01573
Event Type
Injury
Date Received
December 4, 2008
Date of Event
October 28, 2008
Report Date
November 4, 2008
Manufacturer
BIOTRONIK GMBH AND CO
Product Code
LWS
PMA / PMN Number
P980023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

PER OOS, THIS SYSTEM WAS REMOVED DUE TO INFECTION: LUMAX 340 VR-T, MDR 1028232-2008-01572.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LINOX SD 65/16 ICD LEAD LWS BIOTRONIK GMBH AND CO 350054

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization