REOCOR D - EXTERNAL PACEMAKER 371300

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-09-24 for REOCOR D - EXTERNAL PACEMAKER 371300 manufactured by Biotronik, Inc..

Event Text Entries

[121516553] Patient on cardiopulmonary bypass. Surgeon went through two pacing boxes, 3 pacing cables, and 2 pacing leads in order to get a paced rhythm. Resulted in patient being on cpb extra 10 minutes and extra stitch in the heart
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number7901467
MDR Report Key7901467
Date Received2018-09-24
Date of Report2018-08-29
Date of Event2018-04-17
Report Date2018-09-05
Date Reported to FDA2018-09-05
Date Reported to Mfgr2018-09-24
Date Added to Maude2018-09-24
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameREOCOR D - EXTERNAL PACEMAKER
Generic NamePULSE GENERATOR, EXTERNAL PACEMAKER, DUAL CHAMBER
Product CodeOVJ
Date Received2018-09-24
Model Number371300
Catalog Number371300
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Age4 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBIOTRONIK, INC.
Manufacturer Address6024 JEAN ROAD LAKE OSWEGO OR 97035 US 97035


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-24

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