FDA Adverse Event
Malfunction
Summary report: N
ISOFLEX S
MDR report key: 1073347
·
Received July 11, 2008
Report
- Report Number
- 2017865-2008-02141
- Event Type
- Malfunction
- Date Received
- July 11, 2008
- Date of Event
- May 12, 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 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 2196 OHMS IMPEDANCE. THE PULSE GENERATOR WAS REPROGRAMMED TO 3.5 V, 0.4 MS. DUE TO PATIENT'S AGE AND OVERALL CONDITION THE LEAD WOULD NOT BE REPLACED AS IT WAS STILL FUNCTIONAL. THE PATIENT WAS NOT PACEMAKER DEPENDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ISOFLEX S | PERMANENT PACEMAKER ELECTRODE | DTB | ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION | 1646T/58 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |