FDA Adverse Event
Other
Summary report: N
LEAD
MDR report key: 17774090
·
Received September 18, 2023
Report
- Report Number
- MW5145840
- Event Type
- Other
- Date Received
- September 18, 2023
- Report Date
- September 1, 2023
- Manufacturer
- BIOTRONIK SE & CO. KG
- Product Code
- NVY
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THIS LEAD EXPLANTED DUE TO AN UNSPECIFIED PRODUCT PERFORMANCE ISSUE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. 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 |
|---|---|---|---|---|---|---|---|
| 2061821 | LEAD | PERMANENT DEFIBRILLATOR ELECTRODES | NVY | BIOTRONIK SE & CO. KG | S60 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |