BEUDAMED
    FDA Adverse Event Other Summary report: N

    SELOX SR 60

    MDR report key: 731335 · Received June 29, 2006

    Report

    Report Number
    1028232-2006-00105
    Event Type
    Other
    Date Received
    June 29, 2006
    Report Date
    March 7, 2006
    Manufacturer
    BIOTRONIK GMBH AND CO.
    Product Code
    DTB
    PMA / PMN Number
    P950037
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    AN INTERNAL REVIEW REVEALED THAT THIS PRODUCT WAS REMOVED FOR INFECTION AND DISCARDED BY THE HOSPITAL. THIS DEVICE WAS PART OF A SYSTEM REMOVED FOR INFECTION. PLEASE REFERENCE CYLOS DR-T, SN: 76021073, MDR# 06-0032 FOR ADDITIONAL INFORMATION. A NEW SYSTEM WAS IMPLANTED AT A LATER DATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SELOX SR 60 BRADYCARDIA LEAD DTB BIOTRONIK GMBH AND CO. 343 082 *

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Hospitalization