FDA Adverse Event Injury Summary report: N

LINOX SMART S 60

MDR report key: 3871921 · Received June 13, 2014

Report

Report Number
1028232-2014-01991
Event Type
Injury
Date Received
June 13, 2014
Date of Event
March 21, 2014
Report Date
June 3, 2014
Manufacturer
BIOTRONIK SE & CO. KG
Product Code
NVY
PMA / PMN Number
P980023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE IS CURRENTLY NOT AVAILABLE FOR ANALYSIS. NO CONCLUSION CAN BE DRAWN AT THIS TIME. THE INVESTIGATION WILL BE RE-OPENED SHOULD ADDITIONAL DATA BECOME AVAILABLE.

Description of Event or Problem · 1

THERE WAS A POCKET AND LEAD REVISION DONE FOR THIS PATIENT BECAUSE THE DEVICE HAD MOVED THE DAY AFTER IMPLANT AND THE PATIENT WAS UNCOMFORTABLE. THE PHYSICIAN MOVED THE DEVICE AND RE-SUTURED IT. BOTH LEADS WERE GIVEN ADDITIONAL SLACK AND WERE SUTURED AGAIN AS WELL. THIS SYSTEM REMAINS IMPLANTED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THIS FILE WILL BE UPDATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
350986 LINOX SMART S 60 ICD LEAD NVY BIOTRONIK SE & CO. KG 375012

Patients

Seq Age Sex Outcome Treatment
1 83 YR Hospitalization