FDA Adverse Event
Injury
Summary report: N
LINOX SMART S DX 65/15
MDR report key: 4031514
·
Received August 19, 2014
Report
- Report Number
- 1028232-2014-02828
- Event Type
- Injury
- Date Received
- August 19, 2014
- Date of Event
- July 21, 2014
- Report Date
- June 13, 2024
- 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
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 1
THIS PATIENT WAS FOUND "NON-RESPONSIVE IN RESIDENCE ON (B)(6) 2014." THE PATIENT HAD BEEN PREVIOUSLY DIAGNOSED WITH POST-PARTUM CARDIOMYOPATHY. THIS DEVICE WAS EXPLANTED ON (B)(6) 2014 DURING AN AUTOPSY. PER THE CORONER'S OFFICE, THE DEATH CERTIFICATE LISTS THE DATE OF DEATH AS (B)(6) 2014 DUE TO POST-PARTUM CARDIOMYOPATHY. THE CORONER'S OFFICE RETURNED THIS DEVICE FOR DISPOSAL AND HAS REPORTED NO COMPLAINTS WITH THE FUNCTIONALITY OF THIS DEVICE. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, THIS FILE WILL BE UPDATED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 499336 | LINOX SMART S DX 65/15 | ICD LEAD | NVY | BIOTRONIK SE & CO. KG | 365500 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 23 YR | Female | Death |