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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOTRONIK RESILIENCE 75TR; LEAD

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BIOTRONIK RESILIENCE 75TR; LEAD Back to Search Results
Model Number 457851
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Low Blood Pressure/ Hypotension (1914)
Date of Event 05/08/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Biotronik submits this report to comply with fda regulations 21 cfr parts 4 and 803.Biotronik has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by biotronik, or its employees that the device, biotronik, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Biotronik will submit a supplemental report if additional relevant information becomes known.
 
Event or Problem Description
Lead was attempted but not implanted.Procedure was aborted.Patients blood pressure fell below 90/40.Md took needles and leads out and flipped the patient over.Emergent situation which was resolved after flipping the patient over.
 
Additional Manufacturer Narrative
The device is currently not available for analysis.No conclusion can be drawn based on available information at the moment.The file is closed.The investigation will be re-opened.Should additional data become available.
 
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Brand Name
RESILIENCE 75TR
Common Device Name
LEAD
Manufacturer (Section D)
BIOTRONIK
6024 jean road
lake oswego OR 97035
Manufacturer Contact
6024 jean road
lake oswego, OR 97035
8772459800
MDR Report Key25148743
Report Number3027063190-2026-00166
Device Sequence Number13448016
Product Code LGW
UDI-Device Identifier04035479170349
UDI-Public(01)04035479170349(17)270731
Combination Product (Y/N)N
Initial Reporter StateNV
Initial Reporter CountryUS
PMA/510(K) Number
P210037
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 06/02/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model Number457851
Device Catalogue Number457851
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/08/2026
Supplement Date Received by Manufacturer06/01/2026
Initial Report FDA Received Date05/12/2026
Supplement Report FDA Received Date06/02/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/28/2025
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 Number1
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient Age50 YR
Patient SexUnknown
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