FDA Adverse Event Malfunction Summary report: N

TENDRIL SDX

MDR report key: 1050428 · Received May 27, 2008

Report

Report Number
2017865-2008-01409
Event Type
Malfunction
Date Received
May 27, 2008
Date of Event
March 1, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DXY
PMA / PMN Number
PMA00001
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Location
MA
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 IN BIPOLAR THE ATRIAL LEAD EXHIBITED NO CAPTURE AT 7.5 V AND LEAD IMPEDANCE WAS GREATER THAN 2000 OHMS. LEAD IMPEDANCE WAS 290 OHMS IN UNIPOLAR AND CAPTURE WAS GOOD AT 1.0 V, 0.4 MS. PACING WAS PROGRAMMED TO UNIPOLAR AND SENSING WAS PROGRAMMED TO THE BIPOLAR CONFIGURATION.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1