FDA Adverse Event Injury Summary report: N

TENDRIL SDX

MDR report key: 1223897 · Received November 10, 2008

Report

Report Number
2017865-2008-03411
Event Type
Injury
Date Received
November 10, 2008
Date of Event
September 10, 2008
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DTB
PMA / PMN Number
NA
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NA

Description of Event or Problem · 1

IT WAS REPORTED THAT THE LEAD EXHIBITED HIGH THRESHOLDS. DURING THE REPOSITIONING THE PHYSICIAN COULD NOT RETRACT THE HELIX, SO THE LEAD WAS REPLACED.

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 1688T/52 NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention