FDA Adverse Event
Malfunction
Summary report: N
THE GUARDIAN SYSTEM
MDR report key: 22809614
·
Received August 14, 2025
Report
- Report Number
- 3017374019-2025-00052
- Event Type
- Malfunction
- Date Received
- August 14, 2025
- Date of Event
- August 8, 2025
- Report Date
- August 15, 2025
- Manufacturer
- AVERTIX MEDICAL INC.
- Product Code
- QBI
- PMA / PMN Number
- PMA150009
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT HAD A PREMATURE BATTERY ED OF LIFE OF THIER GUARDIAN SYSTEM IMPLANTABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 782527 | THE GUARDIAN SYSTEM | GUARDIAN | QBI | AVERTIX MEDICAL INC. | AMSG3-E |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Male |