FDA Adverse Event Injury Summary report: N

BIOMONITOR 2-AF

MDR report key: 9613597 · Received January 21, 2020

Report

Report Number
1028232-2020-00360
Event Type
Injury
Date Received
January 21, 2020
Date of Event
January 17, 2020
Report Date
January 21, 2020
Manufacturer
BIOTRONIK SE & CO. KG
Product Code
MXD
UDI-DI
04035479135522
PMA / PMN Number
K152995
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

WE RECEIVED YOUR EVENT DESCRIPTION FOR THE ABOVE MENTIONED DEVICE AND WOULD LIKE TO THANK YOU FOR SUPPORTING OUR POST-MARKET SURVEILLANCE. AS OF TODAY, THE MEDICAL DEVICE IS NOT AVAILABLE FOR ANALYSIS, THEREFORE THE DEVICE ITSELF COULD NOT BE INVESTIGATED. THE INFORMATION YOU PROVIDED HAS BEEN ENTERED INTO OUR QUALITY SYSTEM AS A COMPLAINT. THESE TYPES OF COMPLAINTS ARE USED TO EVALUATE SYSTEMS AND DEVICE PERFORMANCE THROUGHOUT OUR ORGANIZATION AND HELP TO MAINTAIN AND IMPROVE THE PERFORMANCE OF OUR DEVICES. SHOULD ADDITIONAL RELEVANT INFORMATION OR THE DEVICE ITSELF BECOME AVAILABLE, THE INVESTIGATION WILL BE UPDATED.

Description of Event or Problem · 1

THIS DEVICE WAS EXPLANTED DUE TO PATIENT DISCOMFORT/ PAIN. DEVICE WAS REPLACED WITH BIOMONITOR III. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, THIS FILE WILL BE UPDATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
73344 BIOMONITOR 2-AF IMPLANTABLE CARDIAC MONITOR MXD BIOTRONIK SE & CO. KG 398493 04035479135522

Patients

Seq Age Sex Outcome Treatment
1 53 YR Hospitalization