FDA Adverse Event
Malfunction
Summary report: N
LV LEAD
MDR report key: 23276153
·
Received October 14, 2025
Report
- Report Number
- MW5177268
- Event Type
- Malfunction
- Date Received
- October 14, 2025
- Report Date
- September 22, 2025
- Manufacturer
- BIOTRONIK, INC.
- Product Code
- OJX
- Product Problem
- 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 THE HEALTH CARE PROFESSIONAL (HCP) CALLED FOR ASSISTANCE WITH PROGRAMMING THIS SYSTEM INTO MAGNETIC RESONANCE IMAGING (MRI) PROTECTION MODE. TECHNICAL SERVICES (TS) INFORMED THIS IS A NON-CONDITIONAL SYSTEM AS THE DEVICE AND RIGHT ATRIAL (RA) LEAD WERE NON-BIOTRONIK PRODUCTS AND PROGRAMMED THE SYSTEM. AFTER THE MRI WAS PERFORMED, THIS SYSTEM WAS REMOVED FROM THE MRI PROTECTION MODE, IT WAS CONFIRMED THAT ALL MEASUREMENTS WERE WITHIN NORMAL LIMITS AND WAS FUNCTIONING AS INTENDED. NO ADVERSE PATIENT EFFECTS WERE REPORTED. THIS LV LEAD REMAINS IN SERVICE. 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 |
|---|---|---|---|---|---|---|---|
| 175530 | LV LEAD | DRUG ELUTING PERMANENT LEFT VENTRICULAR (LV) PACEMAKER ELECTRODE | OJX | BIOTRONIK, INC. | 406079 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |