FDA Adverse Event Malfunction Summary report: N

LINOX SD 65/18

MDR report key: 3843202 · Received June 2, 2014

Report

Report Number
1028232-2014-01852
Event Type
Malfunction
Date Received
June 2, 2014
Date of Event
May 2, 2014
Report Date
August 24, 2023
Manufacturer
BIOTRONIK SE & CO. KG
Product Code
NVY
PMA / PMN Number
P980023
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 1

AS OF TODAY, THE MEDICAL DEVICE IS NOT AVAILABLE FOR ANALYSIS, THEREFORE THE DEVICE ITSELF COULD NOT BE INVESTIGATED. THE RECEIVED DATA WERE CAREFULLY ANALYSED. THE AVAILABLE IMPEDANCE TREND CONFIRMED THE DECREASE AND INCREASE OF THE SHOCK IMPEDANCE. IN SPITE OF THE INFORMATION AVAILABLE FOR ANALYSIS, NO CONCLUSION CAN BE DRAWN REGARDING THE ROOT CAUSE OF THE CLINICAL OBSERVATION. ALSO SOME ARTEFACTS WERE SEEN IN THE FF CHANNEL. IN SPITE OF THE INFORMATION AVAILABLE FOR ANALYSIS, NO CONCLUSION CAN BE DRAWN REGARDING THE ROOT CAUSE OF THE CLINICAL OBSERVATION. AN ANALYSIS OF THE LEAD WOULD BE NECESSARY FOR A ROOT CAUSE INVESTIGATION. SHOULD ADDITIONAL INFORMATION OR THE DEVICE ITSELF BECOME AVAILABLE FOR ANALYSIS, THE INVESTIGATION WILL BE UPDATED.

Description of Event or Problem · 1

THIS LEAD HAS HAD ISSUES SINCE 2012. FIRST THE SHOCK IMPEDANCE WAS LOW AND THEN IT WAS HIGH LATER ON. THIS PATIENT SHOWED UP TO THE ER AND THE ICD WAS UNABLE TO BE INTERROGATED. THE PATIENT WAS RESCUED EXTERNALLY BECAUSE HE WAS HAVING VF ARREST. WHEN THE POCKED WAS OPENED THIS LEAD WAS VISUALLY ERODED AND WIRES WERE EXTERNALIZED. THIS LEAD WAS CAPPED AND REPLACED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THIS FILE WILL BE UPDATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
321287 LINOX SD 65/18 ICD LEAD NVY BIOTRONIK SE & CO. KG 350054

Patients

Seq Age Sex Outcome Treatment
1 54 YR Male Hospitalization