FDA Adverse Event Malfunction Summary report: N

TENDRIL SDX

MDR report key: 1073481 · Received July 11, 2008

Report

Report Number
2017865-2008-02260
Event Type
Malfunction
Date Received
July 11, 2008
Date of Event
February 7, 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
OR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO MEDWATCH FORM WAS RECEIVED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE VENTRICULAR LEAD EXHIBITED NO CAPTURE IN UNIPOLAR AND THRESHOLDS OF 7 V, 1.5 MS IN THE BIPOLAR CONFIGURATION. IN FEBRUARY 2008 CAPTURE THRESHOLDS WERE 6.5 V, 1.5 MS IN UNIPOLAR AND 7.5 V, 1.5 MS IN THE BIPOLAR CONFIGURATION. THE PATIENT WAS PACED LESS THAN ONE PERCENT IN THE VENTRICLE. THE PATIENT WAS NOT PACEMAKER DEPENDENT AND WOULD BE MONITORED.

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 1488T/52 NA

Patients

Seq Age Sex Outcome Treatment
1