FDA Adverse Event Malfunction Summary report: N

TENDRIL ST

MDR report key: 1073372 · Received July 11, 2008

Report

Report Number
2017865-2008-02161
Event Type
Malfunction
Date Received
July 11, 2008
Date of Event
May 1, 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
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED - COMPANY REPRESENTATIVE.

Description of Event or Problem · 1

THE ATRIAL INTRINSIC RATE WAS BEING UNDERSENSED DESPITE A SENSITIVITY OF 0.1 MV.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TENDRIL ST PERMANENT PACEMAKER ELECTRODE DTB ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 1888TC/52 NA

Patients

Seq Age Sex Outcome Treatment
1