BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RIGHT VENTRICULAR LEAD

    MDR report key: 18705080 · Received February 13, 2024

    Report

    Report Number
    MW5151611
    Event Type
    Injury
    Date Received
    February 13, 2024
    Report Date
    January 9, 2024
    Manufacturer
    SORIN CRM SAS
    Product Code
    NVN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THIS RIGHT VENTRICULAR (RV) LEAD WAS PART OF A SYSTEM REVISION DUE TO INFECTION WITH SEPSIS. THERE WERE NO ADDITIONAL ADVERSE PATIENT EFFECTS REPORTED. THE RV LEAD WAS EXPLANTED. 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
    2240441 RIGHT VENTRICULAR LEAD DRUG ELUTING PERMANENT RIGHT VENTRICULAR (RV) OR RIGHT ATRIAL (RA) PACEMAKER ELE NVN SORIN CRM SAS BRF26D

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown