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MAUDE Adverse Event Report: BIOTRONIK SE & CO. KG INTICA 7 VR-T DX DF-1 PROMRI; ICD
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BIOTRONIK SE & CO. KG INTICA 7 VR-T DX DF-1 PROMRI; ICD
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Model Number
404633
Medical Device Problem Code
Premature Elective Replacement Indicator (1483)
Health Effect - Clinical Code
No Clinical Signs, Symptoms or Conditions (4582)
Date of Event
02/11/2026
Type of Reportable Event
Serious Injury
Event or Problem Description
This device was explanted due to eri with unexpected battery behavior.No adverse patient events were reported.Should additional information become available, this file will be updated.
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Brand Name
INTICA 7 VR-T DX DF-1 PROMRI
Common Device Name
ICD
Manufacturer
(Section D)
BIOTRONIK SE & CO. KG
woermannkehre 1
berlin 12359
DE 12359
Manufacturer Contact
6024 jean road
lake oswego, OR 97035
8772459800
MDR Report Key
24484713
Report Number
1028232-2026-01071
Device Sequence Number
13416060
Product Code
LWS
UDI-Device Identifier
04035479142209
UDI-Public
(01)04035479142209(17)181130
Combination Product (Y/N)
N
Initial Reporter State
NC
Initial Reporter Country
US
PMA/510(K) Number
P050023
Number of Events Summarized
1
Summary Report (Y/N)
N
Device Implanted Year
2017
Device Explanted Year
2026
Serviced by Third Party (Y/N)
Unknown
Reporter Type
Manufacturer
Report Source
Health Professional
Initial Reporter Occupation
Physician
Remedial Action
Recall
Type of Report
Initial
Report Date
(Section B)
03/02/2026
1
Device was Involved in the Event
1
Patient was Involved in the Event
Is this an Adverse Event Report?
No
Is this a Product Problem Report?
Yes
Operator of Device
Health Professional
Device Expiration Date
11/30/2018
Device Model Number
404633
Device Catalogue Number
404633
Was Device Available for Evaluation?
Device Returned to Manufacturer
Date Returned to Manufacturer
03/04/2026
Is the Reporter a Health Professional?
Yes
Type of Report(Section G)
Thirty-Day
Initial Date Received by Manufacturer
02/19/2026
Initial Report FDA Received Date
03/02/2026
Date Device Manufactured
05/04/2017
Is the Device Labeled for Single Use? (Y/N)
Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device
Initial
Patient Sequence Number
1
Outcome Attributed to Adverse Event
Hospitalization; Required Intervention;
Patient Age
81 YR
Patient Sex
Male
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