FDA Adverse Event Malfunction Summary report: N

TENDRIL SDX

MDR report key: 1073271 · Received July 11, 2008

Report

Report Number
2017865-2008-02070
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
AR
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 ATRIAL LEAD IMPEDANCE HAD INCREASED FROM 500 OHMS AT IMPLANT TO 1200 OHMS. SENSING THRESHOLDS DECREASED FROM GREATER THAN 3 MV TO 1.9 MV AND CAPTURE THRESHOLDS INCREASED FROM 1.0 V, 0.5 MS TO 4.0 V, 0.5 MS. NOISE WAS ALSO NOTED ON THE ATRIAL LEAD. THE IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) WAS PROGRAMMED FROM DDD TO VVI MODE. THE PATIENT WAS AYSMPTOMATIC.

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 1688TC/52 NA

Patients

Seq Age Sex Outcome Treatment
1