FDA Adverse Event Malfunction Summary report: N

TENDRIL SDX

MDR report key: 1050369 · Received May 27, 2008

Report

Report Number
2017865-2008-01355
Event Type
Malfunction
Date Received
May 27, 2008
Date of Event
February 1, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DTB
PMA / PMN Number
PMA00001
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Location
PA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED.

Description of Event or Problem · 1

IT WAS REPORTED THAT LEAD IMPEDANCE WAS LESS THAN 200 OHMS IN BOTH CONFIGURATIONS. UNIPOLAR CAPTURE THRESHOLD WAS AT 1.25 V, 0.4 MS AND BIPOLAR CAPTURE WAS AT 1.75 V, 0.4 MS WITH AN 8.9 MV R-WAVE. THE PATIENT HAD PECTORAL STIMULATION AT OUTPUTS OF 5.0 V AND EXPERIENCED A RUN OF TORSADE DE POINTES PRIOR TO THE FOLLOW-UP. THE PULSE GENERATOR WILL REMAIN PROGRAMMED TO UNIPOLAR PACE AND BIPOLAR SENSE WITH THE VENTRICULAR OUTPUT PROGRAMMED TO 5.0 V, 0.8 MS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TENDRIL SDX PERMANENT PACEMAKER ELECTRODE DTB ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 1688T/46 NA

Patients

Seq Age Sex Outcome Treatment
1