BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TENDRIL DX

    MDR report key: 1073202 · Received July 11, 2008

    Report

    Report Number
    2017865-2008-02015
    Event Type
    Malfunction
    Date Received
    July 11, 2008
    Date of Event
    April 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
    OH
    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 THE VENTRICULAR LEAD EXHIBITED 2039 OHMS IMPEDANCE IN THE BIPOLAR CONFIGURATION. THE PHYSICIAN PROGRAMMED LONG DELAYS TO ALLOW FOR INTRINSIC R-WAVES TO COME THROUGH. CAPTURE THRESHOLDS WERE 2.8 V AND THE OUTPUT WAS SET AT 5 V AMPLITUDE AND A 0.4 MS PULSE WIDTH. THE PATIENT WAS PACED IN THE VENTRICLE ONE PERCENT OF THE TIME. THE LEAD WOULD BE MONITORED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TENDRIL DX PERMANENT PACEMAKER ELECTRODE DTB ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 1388T/52 NA

    Patients

    Seq Age Sex Outcome Treatment
    1