FDA Adverse Event Other Summary report: N

BELOS VR-T

MDR report key: 487385 · Received September 30, 2003

Report

Report Number
1028232-2003-00294
Event Type
Other
Date Received
September 30, 2003
Date of Event
September 24, 2003
Report Date
September 25, 2003
Manufacturer
BIOTRONIK GMBH & CO.
Product Code
LWS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

VOLUNTARY FIRM INITIATED DEVICE RECALL EXENSION IN 2003 ASSOCIATED WITH PT MGMT INFO (PMI). THE MFR NOTIFIED BIOTRONIK, INC. THAT PRODUCT WAS SUBJECT TO A DEAR DOCTOR LETTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BELOS VR-T ICD LWS BIOTRONIK GMBH & CO. 331 135 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Hospitalization