FDA Adverse Event Injury Summary report: N

TENDRIL SDX

MDR report key: 1050531 · Received May 27, 2008

Report

Report Number
2017865-2008-01282
Event Type
Injury
Date Received
May 27, 2008
Date of Event
February 6, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DXY
PMA / PMN Number
PMA00001
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
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 SINCE BEGINNING OF 2008, THE AUTOCAPTURE THRESHOLD RECORD SHOWED HIGH CAPTURE THRESHOLDS AND THE PATIENT FELT TWITCHING. CLINICAL TESTS SHOWED A THRESHOLD OF 0.652 V IN UNIPOLAR AND 1 V IN BIPOLAR. BIPOLAR SENSING WAS 2 MV. X-RAY DID NOT REVEAL ANY LEAD ANOMALIES. OVER-SENSING WAS NOT REPRODUCED WITH ISOMETRICS. THE PATIENT HAD COMPLETE HEART BLOCK AND WAS PACED 99 PERCENT OF THE TIME.

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 1488TC/52 NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention