FDA Adverse Event Injury Summary report: N

ATLAS II PLUS HF CRT-D

MDR report key: 1073596 · Received July 11, 2008

Report

Report Number
2017865-2008-02480
Event Type
Injury
Date Received
July 11, 2008
Date of Event
May 2, 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
OH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE ANALYSIS CONFIRMED THE PREMATURE BATTERY DEPLETION. LONGEVITY CALCULATION INDICATES THAT THE BATTERY VOLTAGE IS LOWER THAN EXPECTED GIVEN THE PROGRAMMED PARAMETERS THAT WERE AVAILABLE. WITH ANOTHER BATTERY ATTACHED, THE POWER CONSUMPTION OF THE DEVICE WAS MEASURED AND FOUND TO BE NORMAL.

Additional Manufacturer Narrative · 1

DEVICE EVALUATION ANTICIPATED, BUT NOT YET BEGUN.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT DECEASED. IT WAS NOTED THAT THE LEAD EXHIBITED A MECHANICAL PROBLEM. THERE IS NO ALLEGATION FROM A HEALTH CARE PROFESSIONAL THAT THE DEATH WAS DEVICE RELATED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE WAS EXPLANTED DUE TO SUSPECTED PREMATURE BATTERY DEPLETION AFTER 6 MONTHS OF IMPLANT.

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 73 YR Required Intervention