FDA Adverse Event Injury Summary report: N

ATLAS II PLUS HF CRT-D

MDR report key: 1073528 · Received July 11, 2008

Report

Report Number
2017865-2008-02422
Event Type
Injury
Date Received
July 11, 2008
Date of Event
April 1, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
NIK
PMA / PMN Number
P030054
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NO MEDWATCH FORM WAS RECEIVED.

Additional Manufacturer Narrative · 1

DEVICE EVALUATION ANTICIPATED BUT NOT YET BEGUN.

Additional Manufacturer Narrative · 1

THE REPORTED FIELD EVENT OF BACKUP VVI WAS CONFIRMED IN THE LABORATORY. REVIEW OF THE DEVICE IMAGE REVEALED THAT A POWER-ON RESET OCCURRED DURING HV THERAPY DELIVERY. THE DEVICE WAS TESTED ON THE BENCH AND A DAMAGED OUTPUT TRANSISTOR WAS OBSERVED. THE DAMAGE WAS CAUSED BY DELIVERY OF HV THERAPY INTO A LOW IMPEDANCE OUTPUT. THE CAUSE OF THE LOW IMPEDANCE OUTPUT COULD NOT BE DETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE WENT INTO HARDWARE BACKUP VVI MODE. THE DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ATLAS II PLUS HF CRT-D IMPLANTABLE CARDIOVERTER DEFIBRILLATOR NIK ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION V-366 NA

Patients

Seq Age Sex Outcome Treatment
1 81 YR Required Intervention