FDA Adverse Event Malfunction Summary report: N

TENDRIL SDX

MDR report key: 1073364 · Received July 11, 2008

Report

Report Number
2017865-2008-02153
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
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA
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 OVERSENSING AND PAUSES WERE OBSERVED ON THE ECG STRIPS. ISOMETRICS AND ARM EXERCISES WERE SUCCESSFUL IN RECREATING INHIBITION IN BIPOLAR SENSING. THE LEAD WOULD REMAIN IN THE BIPOLAR CONFIGURATION. THE PATIENT WOULD CONTINUE TO BE FOLLOWED-UP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TENDRIL SDX PERMANENT PACEMAKER ELECTRODE DTB ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 1688TC/52 NA

Patients

Seq Age Sex Outcome Treatment
1