FDA Adverse Event
Injury
Summary report: N
TENDRIL DX
MDR report key: 1073341
·
Received July 11, 2008
Report
- Report Number
- 2017865-2008-02135
- Event Type
- Injury
- Date Received
- July 11, 2008
- Date of Event
- March 10, 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. COMPETITOR.
Description of Event or Problem · 1
THE PATIENT PRESENTED TO THE HOSPITAL WITH FATIGUE AND LIGHT HEADNESS. THE LEAD EXHIBITED 146 OHMS IMPEDANCE IN THE BIPOLAR CONFIGURATION DUE TO POSSIBLE FRACTURE.
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/58 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |