FDA Adverse Event Injury Summary report: N

ATLAS II PLUS DR

MDR report key: 1223466 · Received November 10, 2008

Report

Report Number
2017865-2008-03646
Event Type
Injury
Date Received
November 10, 2008
Date of Event
August 29, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
LWS
PMA / PMN Number
PMAP910023
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FIELD EXPERIENCE OF EXTENDED CHARGE TIME WAS VERIFIED IN THE LABORATORY. THE CAUSE OF THE EXTENDED CHARGE TIME WAS A DAMAGED HIGH VOLTAGE CAPACITOR. THE DEVICE PASSED PARTIAL LOW VOLTAGE TESTING.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BATTERY DEPLETED PREMATURELY DUE TO EXTENDED CHARGE TIME. THE DEVICE WAS REPLACED.

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 Required Intervention