FDA Adverse Event Injury Summary report: N

BIOMONITOR 2-AF

MDR report key: 9876060 · Received March 24, 2020

Report

Report Number
1028232-2020-01425
Event Type
Injury
Date Received
March 24, 2020
Date of Event
December 20, 2019
Report Date
March 10, 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

THE DEVICE WAS RECEIVED FOR ANALYSIS. THE QUALITY DOCUMENTS ASSOCIATED WITH THE MANUFACTURE OF THIS PARTICULAR DEVICE WERE RE-INVESTIGATED. THERE WAS NO SIGN OF ANY INCONSISTENCY DURING PRODUCTION AND FINAL ACCEPTANCE TEST. THE DEVICE AS RECEIVED WAS VISUALLY INSPECTED. THE VISUAL INSPECTION REVEALED NO EXTERNAL ANOMALIES. IN CONCLUSION THERE WAS NO INDICATION OF A MATERIAL OR MANUFACTURING PROBLEM.

Description of Event or Problem · 1

DEVICE WAS EXPLANTED DUE TO PATIENT COMPLAINTS OF PAIN. NO REPLACEMENT WAS IMPLANTED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, THIS FILE WILL BE UPDATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334303 BIOMONITOR 2-AF IMPLANTABLE CARDIAC MONITOR MXD BIOTRONIK SE & CO. KG 398493 04035479135522

Patients

Seq Age Sex Outcome Treatment
1 55 YR Hospitalization