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U.S. Department of Health and Human Services

Class 2 Device Recall

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  Class 2 Device Recall see related information
Date Initiated by Firm March 21, 2003
Date Posted May 14, 2003
Recall Status1 Terminated 3 on October 13, 2004
Recall Number Z-0817-03
Recall Event ID 26041
PMA Number P980023/S8 
Product Classification Implantable Cardioverter Defibrillator (Non-Crt) - Product Code LWS
Product Belos VR-T implantable cardioverter defibrillator. Implantable Cardioverter Defibrillator.

The Belos VR-T is a single-chamber implantable cardioverter defibrillator (ICD) that detects and treats ventricular tachyarrhythmias and provides rate adaptive bradycardia pacing support. The ICDs are designed to collect diagnostic data to aid
the physician''s assessment of a patient''s condition and the performance of the implanted device.
Code Information Part number 331135. Serial numbers 78140020, 78140021, 78140026, 78140027, 78140029, 78140035, 78140037, 78140038, 78140039, 78140045, 78140046, 78140048, 78140049, 78140051, 78140052, 78140053, 78140054, 78140055, 78140056, 78140057, 78140058, 78140059, 78140060, 78140061, 78140062, 78140063, 78140064, 78140065, 78140066, 78140067, 78140070, 78140071, 78140072, 78140073, 78140102, 78140103, 78140104, 78140105, 78140109, 78140111, 78140112, 78140113, 78140114, 78140124, 78140132, 78140134, 78140135, 78140136, 78140139
Recalling Firm/
Manufacturer
Biotronik Inc
6024 Jean Road
Lake Oswego OR 97035-5369
For Additional Information Contact Jon Brumbaugh
888-345-0374
Manufacturer Reason
for Recall
Potential extended charge time anomalies
FDA Determined
Cause 2
Other
Action The firm issued a letter dated 3/21/03 via certified return receipt requested. The envelope and letter are flagged 'IMPORTANT: Patient Management Information'. The letter recommends that physicians schedule an immediate follow-up visit with each of their patients implanted with an affected Belos VR or VR-T ICD to evaluate the device charge times. The firm provided the doctors with the names of their patients.
Quantity in Commerce 49
Distribution The firm distributed to physicians throughout the United States. The firm only distributes to US customers.
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
PMA Database PMAs with Product Code = LWS and Original Applicant = BIOTRONIK, INC.
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