FDA Adverse Event Malfunction Summary report: N

TENDRIL DX

MDR report key: 1073297 · Received July 11, 2008

Report

Report Number
2017865-2008-02096
Event Type
Malfunction
Date Received
July 11, 2008
Date of Event
May 7, 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
MI
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 THE ATRIAL LEAD WENT FROM A CONSISTENT MEASUREMENT OF 300 TO 400 OHMS IMPEDANCE FROM IMPLANT TO LAST FOLLOW-UP IN NOVEMBER 2007 TO 1200 TO 1450 OHMS. THERE WERE LOWER IMPEDANCE MEASUREMENTS OF 356 OHMS WHEN SENSING UNIPOLAR RING TO CASE. THE LEAD WOULD BE REPLACED DURING AN UPCOMING PULSE GENERATOR CHANGE OUT.

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 1388TC/46 NA

Patients

Seq Age Sex Outcome Treatment
1