FDA Adverse Event Malfunction Summary report: N

LINOX TD 65/18

MDR report key: 2800303 · Received October 9, 2012

Report

Report Number
1028232-2012-02533
Event Type
Malfunction
Date Received
October 9, 2012
Date of Event
September 11, 2012
Report Date
September 27, 2012
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

OUS MDR - AFTER AN IMPLANTATION TIME OF 64 MONTHS, OVERSENSING WAS REPORTED. NO DETERIORATION IN THE PT'S STATE OF HEALTH WAS REPORTED. THE DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LINOX TD 65/18 ICD LEAD LWS BIOTRONIK SE & CO. KG 351338

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization