BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LINOX S 65

    MDR report key: 2233125 · Received July 22, 2011

    Report

    Report Number
    1028232-2011-01649
    Event Type
    Malfunction
    Date Received
    July 22, 2011
    Date of Event
    June 7, 2011
    Report Date
    July 11, 2011
    Manufacturer
    BIOTRONIK SE & CO. KG
    Product Code
    LWS
    PMA / PMN Number
    P980023
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    AFTER AN IMPLANTATION TIME OF ABOUT (B)(6), A SHOCK IMPEDANCE OF <20 OHMS WAS REPORTED. THE DATE OF IMPLANT WAS NOT PROVIDED. THIS LEAD WAS EXPLANTED AND THERE WERE NO ADVERSE PT EFFECTS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LINOX S 65 ICD LEAD LWS BIOTRONIK SE & CO. KG 351333

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization