FDA Adverse Event Summary report: N

LINOX S 65

MDR report key: 3050241 · Received April 10, 2013

Report

Report Number
1028232-2013-00920
Date Received
April 10, 2013
Date of Event
March 2, 2013
Report Date
March 27, 2013
Manufacturer
BIOTRONIK SE & CO. KG
Product Code
NVY
PMA / PMN Number
P980023
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PERFORMANCE OF THE LEAD UNDER COMPLAINT WAS SCRUTINIZED. THE ANALYSIS REVEALED MULTIPLE SIGNS OF ABRASION ALONG THE LEAD BODY. IN THE DISTAL PART OF THE LEAD THE INSULATION WAS FOUND RUBBED THROUGH. THIS CAN BE CONSIDERED AS THE ROOT CAUSE FOR THE OBSERVED NOISE, AS MENTIONED IN THE COMPLAINT DESCRIPTION. BASED ON THE CHARACTERISTICS OF THESE DAMAGES, IT IS REASONABLE TO ASSUME THAT THE LEAD HAD BEEN SUBJECT TO SEVERE MECHANICAL STRESS IN THE IMPLANTED STATE. DIAGNOSTIC IMAGES CLARIFYING THIS ASSUMPTION WERE NOT AVAILABLE FOR ANALYSIS. THE DATA RETURNED FOR ANALYSIS WERE ANALYZED. THE INSPECTION REVEALED THE PRESENCE OF NOISE IN THE VENTRICULAR AND THE FAR-FIELD CHANNEL. THIS OBSERVATION IS CONSISTENT WITH THE COMPLAINT DESCRIPTION AND THE OUTCOME OF THE LEAD ANALYSIS. THE ANALYSIS DID NOT REVEAL ANY SIGN OF A MATERIAL OR MANUFACTURING PROBLEM.

Description of Event or Problem · 1

OUS MDR - AFTER AN IMPLANT DURATION OF ABOUT 21 MONTHS OVERSENSING WAS REPORTED. NO SHOCKS DELIVERED. NO ADVERSE AFFECTS WERE REPORTED. THE LEAD WAS EXPLANTED. THE IMPLANT AND EXPLANT DATES WERE NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
149839 LINOX S 65 ICD LEAD NVY BIOTRONIK SE & CO. KG 351333

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization