FDA Adverse Event Injury Summary report: N

TENDRIL SDX

MDR report key: 1051022 · Received May 27, 2008

Report

Report Number
2017865-2008-01329
Event Type
Injury
Date Received
May 27, 2008
Date of Event
February 8, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DTB
PMA / PMN Number
PMA00001
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO MEDWATCH FORM WAS RECEIVED.

Description of Event or Problem · 1

IT WAS REPORTED THAT BOTH LEADS EXHIBITED POOR SENSING AND CAPTURE THRESHOLDS.

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/52 NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention