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 |