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