BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LINOX SD 75/18

    MDR report key: 1902557 · Received November 12, 2010

    Report

    Report Number
    1028232-2010-02411
    Event Type
    Injury
    Date Received
    November 12, 2010
    Date of Event
    July 26, 2010
    Report Date
    October 22, 2010
    Manufacturer
    BIOTRONIK SE & CO. KG
    Product Code
    LWS
    PMA / PMN Number
    P980023
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    NURSE

    Narratives

    Additional Manufacturer Narrative · 1

    THE DEVICE WAS NOT RETURNED FOR ANALYSIS. THE ANALYSIS IS THEREFORE BASED ON THE INSPECTION OF THE QUALITY DOCUMENTS ASSOCIATED WITH THE MANUFACTURE OF THIS PARTICULAR DEVICE. THE MFG PROCESS FOR THIS DEVICE WAS RE-INVESTIGATED. ALL PRODUCTION STEPS HAD BEEN PERFORMED ACCORDINGLY. THERE WAS NO SIGN OF ANY INCONSISTENCY DURING THE MFG PROCESS WHICH MIGHT BE RELATED TO THE CLINICAL OBSERVATION. IN SUMMARY, THE DEVICE WAS NOT RETURNED FOR ANALYSIS. THE REVIEW OF THE QUALITY DOCUMENTS CONFIRMED A REGULAR DEVICE MFG.

    Description of Event or Problem · 1

    PT COMPLAINED THAT THIS LEAD "HURT HIS HEART." THIS DEVICE REMAINS IMPLANTED. THE FOLLOW PHYSICIAN'S OFFICE HAS NO COMPLAINTS AGAINST THIS DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LINOX SD 75/18 ICD LEAD LWS BIOTRONIK SE & CO. KG 350056

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Hospitalization