FDA Adverse Event Injury Summary report: N

MICRONY II SR+

MDR report key: 1073282 · Received July 11, 2008

Report

Report Number
2017865-2008-02081
Event Type
Injury
Date Received
July 11, 2008
Date of Event
November 3, 2007
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

FINAL ANALYSIS FOUND THAT THE BATTERY WAS DEPLETED PREMATURELY DUE TO HIGH CURRENT DRAIN CAUSED BY A LEAKY CAPACITOR.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BATTERY WAS PREMATURELY DEPLETED. BATTERY DATA DECREASED FROM 2.78 V ON DECEMBER 12, 2006 TO NO BATTERY VOLTAGE (DASHED LINE) ON OCTOBER 1, 2007.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRONY II SR+ IMPLANTABLE PACEMAKER PULSE GENERATOR DXY ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 2525T NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention