FDA Adverse Event Malfunction Summary report: N

RESONATE X4 CRT-D

MDR report key: 14518765 · Received May 26, 2022

Report

Report Number
2124215-2022-18556
Event Type
Malfunction
Date Received
May 26, 2022
Date of Event
May 19, 2022
Report Date
September 7, 2022
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NIK
UDI-DI
00802526589539
PMA / PMN Number
P010012/S436
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS PRODUCT HAS NOT BEEN RETURNED TO BOSTON SCIENTIFIC, AND AS A RESULT, LABORATORY ANALYSIS COULD NOT BE CONDUCTED. THE ASSOCIATED INVESTIGATION DETERMINED THAT THIS DEVICE EXHIBITED INTERMITTENT IMPEDANCE MEASUREMENTS WITH NO CONCLUSIVE EVIDENCE OF A MALFUNCTION OR INADEQUATE LEAD-TO-DEVICE CONNECTION; PLEASE REFER TO THE DESCRIPTION FOR MORE INFORMATION REGARDING THE SPECIFIC CIRCUMSTANCES OF THIS EVENT. INVESTIGATION HAS DETERMINED THAT THIS TYPE OF EVENT IS LIKELY THE RESULT OF AN INTERMITTENT HIGH IMPEDANCE CONDITION ASSOCIATED WITH THE DEVICE SPRING CONTACT AND LEAD TERMINAL RING. A DESIGN ENHANCEMENT WAS IMPLEMENTED IN 2020 TO STABILIZE THE ELECTRICAL CONNECTION BETWEEN THE SPRING CONTACT AND THE LEAD TERMINAL.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PATIENT UNDERWENT A GENERATOR CHANGE OUT TO A CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D). THE FOLLOWING DAY THERE WAS HIGH OUT OF RANGE PACING IMPEDANCES ON BOTH THE RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEAD MEASURING GREATER THAN 3000 OHMS. ADDITIONALLY, THE SHOCK LEAD IMPEDANCES (SLI) WERE HIGH OUT OF RANGE MEASURING GREATER THAN 200 OHMS. THE HEALTH CARE PROFESSIONAL (HCP) REACHED OUT TO TECHNICAL SERVICES AND DISK ANALYSIS WAS REQUESTED. THE HCP HAD THE PATIENT PERFORM A PATIENT INITIATED INTERROGATION (PII). THE PRESENTING ELECTROGRAM (EGM) AND ALL LEAD MEASUREMENTS WERE WITHIN NORMAL RANGE. THE PLAN IS TO HAVE THE PATIENT PERFORM ANOTHER PII IN THE FOLLOW WEEK TO CONFIRM MEASUREMENTS. AT THIS TIME, THE SYSTEM REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PATIENT UNDERWENT A GENERATOR CHANGE OUT TO A CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D). THE FOLLOWING DAY THERE WAS HIGH OUT OF RANGE PACING IMPEDANCES ON BOTH THE RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEAD MEASURING GREATER THAN 3000 OHMS. ADDITIONALLY, THE SHOCK LEAD IMPEDANCES (SLI) WERE HIGH OUT OF RANGE MEASURING GREATER THAN 200 OHMS. THE HEALTH CARE PROFESSIONAL (HCP) REACHED OUT TO TECHNICAL SERVICES AND DISK ANALYSIS WAS REQUESTED. THE HCP HAD THE PATIENT PERFORM A PATIENT INITIATED INTERROGATION (PII). THE PRESENTING ELECTROGRAM (EGM) AND ALL LEAD MEASUREMENTS WERE WITHIN NORMAL RANGE. THE PLAN IS TO HAVE THE PATIENT PERFORM ANOTHER PII IN THE FOLLOW WEEK TO CONFIRM MEASUREMENTS. AT THIS TIME, THE SYSTEM REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PATIENT UNDERWENT A GENERATOR CHANGE OUT TO A CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D). THE FOLLOWING DAY THERE WAS HIGH OUT OF RANGE PACING IMPEDANCES ON BOTH THE RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEAD MEASURING GREATER THAN 3000 OHMS. ADDITIONALLY, THE SHOCK LEAD IMPEDANCES (SLI) WERE HIGH OUT OF RANGE MEASURING GREATER THAN 200 OHMS. THE HEALTH CARE PROFESSIONAL (HCP) REACHED OUT TO TECHNICAL SERVICES AND DISK ANALYSIS WAS REQUESTED. THE HCP HAD THE PATIENT PERFORM A PATIENT INITIATED INTERROGATION (PII). THE PRESENTING ELECTROGRAM (EGM) AND ALL LEAD MEASUREMENTS WERE WITHIN NORMAL RANGE. THE PLAN IS TO HAVE THE PATIENT PERFORM ANOTHER PII IN THE FOLLOW WEEK TO CONFIRM MEASUREMENTS. AT THIS TIME, THE SYSTEM REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1710583 RESONATE X4 CRT-D IMPLANTABLE DEVICE NIK BOSTON SCIENTIFIC CORPORATION G447 276583 00802526589539

Patients

Seq Age Sex Outcome Treatment
1 45 YR Male