FDA Adverse Event
Injury
Summary report: N
ATLAS II PLUS DR
MDR report key: 1223465
·
Received November 10, 2008
Report
- Report Number
- 2017865-2008-03645
- Event Type
- Injury
- Date Received
- November 10, 2008
- Date of Event
- August 11, 2008
- Manufacturer
- ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
- Product Code
- LWS
- PMA / PMN Number
- P910023
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE REPORTED PREMATURE BATTERY DEPLETION WAS VERIFIED IN THE LABORATORY. UPON RECEIPT THE DEVICE WOULD NOT COMMUNICATE. THE DEVICE'S BATTERY WAS FOUND TO BE DEPLETED. NO HIGH CURRENT DRAIN SOURCES WERE FOUND DURING TESTING. THE CAUSE FOR THE PREMATURE BATTERY DEPLETION WAS NOT DETERMINED.
Additional Manufacturer Narrative · 1
ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE DEVICE HAD REACHED EARLY BATTERY DEPLETION 9 MONTHS POST IMPLANT. THERE WAS NOTHING UNUSUAL ABOUT THE DEVICE PROGRAMMED PARAMETERS THAT WOULD DECREASE THE BATTERY AS SUCH A RAPID RATE. THE DEVICE WAS EXPLANTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ATLAS II PLUS DR | IMPLANTABLE CARDIOVERTER DEFIBRILLATOR | LWS | ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION | V-268 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 80 YR | Required Intervention |