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 |