FDA Adverse Event
Malfunction
Summary report: N
RV LEAD
MDR report key: 17509312
·
Received August 11, 2023
Report
- Report Number
- MW5122917
- Event Type
- Malfunction
- Date Received
- August 11, 2023
- Report Date
- February 8, 2023
- Manufacturer
- BIOTRONIK
- Product Code
- NVY
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
(B)(6) 2022 16:10:33 RV LEAD INTEGRITY WARNING: 2 OR MORE HIGH RATE-NS EPISODES LESS THAN 220 MS. SENSING INTEGRITY COUNTER GREATER THAN OR EQUAL TO 30 IN 3 DAYS. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1355228 | RV LEAD | PERMANENT DEFIBRILLATOR ELECTRODES | NVY | BIOTRONIK | 359073 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |