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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Biotronik Resilience 55; Lead

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Biotronik Resilience 55; Lead Back to Search Results
Model Number 457852
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 09/01/2026
Type of Reportable Event Serious Injury
Event or Problem Description
This system was explanted due to insufficient pain relief.Patient had a pain pump implanted soon after scs was implanted.Both devices were explanted as patient stated he felt that having both devices made him feel worse.
 
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.
 
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Brand Name
Resilience 55
Common Device Name
Lead
Manufacturer (Section D)
Biotronik
6024 jean road
lake oswego OR 97035
Manufacturer Contact
6024 jean road
lake oswego, OR 97035
+1(877)245-9800
MDR Report Key50885894
Report Number3027063190-2026-00373
Device Sequence Number9826183
Product Code LGW
UDI-Device Identifier04035479170332
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
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 09/24/2026
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 Number457852
Device Catalogue Number457852
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/23/2026
Initial Report FDA Received Date09/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/16/2026
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 Required Intervention; Hospitalization;
Patient SexUnknown
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