FDA Adverse Event Injury Summary report: N

INGENIO

MDR report key: 15405585 · Received September 12, 2022

Report

Report Number
2124215-2022-35420
Event Type
Injury
Date Received
September 12, 2022
Date of Event
August 15, 2022
Report Date
June 16, 2023
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWW
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS DEVICE WAS THOROUGHLY INSPECTED AND ANALYZED UPON RECEIPT AT OUR QUALITY ASSURANCE LABORATORY. REVIEW OF DEVICE MEMORY NOTED NO SUSPICIOUS FAULTS OR RESETS. POWER CONSUMPTION WAS NOTED TO BE STABLE, AND FULL DEVICE FUNCTION WAS VERIFIED. A SERIES OF AUTOMATED ELECTRICAL/FUNCTIONAL TESTS WERE CONDUCTED AND NO ISSUES WITH DEVICE PERFORMANCE WERE OBSERVED; BASIC SENSING AND PACING FUNCTIONS OF THE DEVICE WERE VERIFIED. THE TITANIUM CASE WAS THEN OPENED AND THE BATTERY WAS REMOVED SO THAT AN EXTERNAL POWER SUPPLY COULD BE CONNECTED TO THE DEVICE FOR FURTHER ANALYSIS. A HIGHER-THAN-NORMAL CURRENT DRAIN WAS OBSERVED, AND GREAT BATCH BATTERY USE WAS CONFIRMED. THE CURRENT DRAIN MALFUNCTION IS ASSOCIATED WITH THE SUPPLIED BATTERY COMPONENT. THIS CORRECTIVE REPORT IS BEING SUBMITTED TO INFORM THE ABOVE DEVICE EVALUATION RESULTS HAVE AN INCORRECT SENTENCE, PLEASE REVIEW THE TEXT BELLOW FOR THE ACCURATE RESULTS OF THE COMPLAINT PACEMAKER ANALYSIS. THIS DEVICE WAS THOROUGHLY INSPECTED AND ANALYZED UPON RECEIPT AT OUR QUALITY ASSURANCE LABORATORY. REVIEW OF DEVICE MEMORY NOTED NO SUSPICIOUS FAULTS OR RESETS. POWER CONSUMPTION WAS NOTED TO BE STABLE, AND FULL DEVICE FUNCTION WAS VERIFIED. REVIEW OF BATTERY VOLTAGE WHILE THE DEVICE WAS IMPLANTED CONFIRMED THE VOLTAGE WAS DROPPING MORE QUICKLY THAN EXPECTED. A SERIES OF AUTOMATED ELECTRICAL/FUNCTIONAL TESTS WERE CONDUCTED AND NO ISSUES WITH DEVICE PERFORMANCE WERE OBSERVED; BASIC SENSING AND PACING FUNCTIONS OF THE DEVICE WERE VERIFIED. THE TITANIUM CASE WAS THEN OPENED, AND THE BATTERY WAS REMOVED SO THAT AN EXTERNAL POWER SUPPLY COULD BE CONNECTED TO THE DEVICE FOR FURTHER ANALYSIS. A NORMAL CURRENT DRAIN WAS THEN OBSERVED. ANALYSIS CONCLUDED THIS BATTERY EXHIBITED A PERFORMANCE ISSUE THAT RESULTED IN THE OBSERVED PREMATURE BATTERY DEPLETION.

Additional Manufacturer Narrative · 0

THIS DEVICE WAS THOROUGHLY INSPECTED AND ANALYZED UPON RECEIPT AT OUR QUALITY ASSURANCE LABORATORY. REVIEW OF DEVICE MEMORY NOTED NO SUSPICIOUS FAULTS OR RESETS. POWER CONSUMPTION WAS NOTED TO BE STABLE, AND FULL DEVICE FUNCTION WAS VERIFIED. A SERIES OF AUTOMATED ELECTRICAL/FUNCTIONAL TESTS WERE CONDUCTED AND NO ISSUES WITH DEVICE PERFORMANCE WERE OBSERVED; BASIC SENSING AND PACING FUNCTIONS OF THE DEVICE WERE VERIFIED. THE TITANIUM CASE WAS THEN OPENED AND THE BATTERY WAS REMOVED SO THAT AN EXTERNAL POWER SUPPLY COULD BE CONNECTED TO THE DEVICE FOR FURTHER ANALYSIS. A HIGHER-THAN-NORMAL CURRENT DRAIN WAS OBSERVED, AND GREAT BATCH BATTERY USE WAS CONFIRMED. THE CURRENT DRAIN MALFUNCTION IS ASSOCIATED WITH THE SUPPLIED BATTERY COMPONENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BATTERY OF THIS IMPLANTABLE DEVICE WAS SUSPECTED TO BE DEPLETING PREMATURELY. A REQUEST WAS MADE TO HAVE DATA FROM THIS DEVICE ANALYZED. DATA ANALYSIS CONFIRMED THE BATTERY APPEARED TO BE DEPLETING MORE QUICKLY THAN EXPECTED. AS A RESULT, DEVICE REPLACEMENT WITHIN 90 DAYS OR MORE FREQUENT MONITORING WAS RECOMMENDED. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BATTERY OF THIS PACEMAKER WAS SUSPECTED TO BE DEPLETING PREMATURELY. A REQUEST WAS MADE TO HAVE DATA FROM THIS DEVICE ANALYZED. DATA ANALYSIS CONFIRMED THE BATTERY APPEARED TO BE DEPLETING MORE QUICKLY THAN EXPECTED. AS A RESULT, DEVICE REPLACEMENT WITHIN 90 DAYS OR MORE FREQUENT MONITORING WAS RECOMMENDED. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED. THIS PACEMAKER WAS SUCCESSFULLY REPLACED AND IS EXPECTED TO BE RETURNED TO BOSTON SCIENTIFIC FOR ANALYSIS. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BATTERY OF THIS PACEMAKER WAS SUSPECTED TO BE DEPLETING PREMATURELY. A REQUEST WAS MADE TO HAVE DATA FROM THIS DEVICE ANALYZED. DATA ANALYSIS CONFIRMED THE BATTERY APPEARED TO BE DEPLETING MORE QUICKLY THAN EXPECTED. AS A RESULT, DEVICE REPLACEMENT WITHIN 90 DAYS OR MORE FREQUENT MONITORING WAS RECOMMENDED. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED. THIS PACEMAKER WAS SUCCESSFULLY REPLACED AND RETURNED TO BOSTON SCIENTIFIC FOR ANALYSIS. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BATTERY OF THIS PACEMAKER WAS SUSPECTED TO BE DEPLETING PREMATURELY. A REQUEST WAS MADE TO HAVE DATA FROM THIS DEVICE ANALYZED. DATA ANALYSIS CONFIRMED THE BATTERY APPEARED TO BE DEPLETING MORE QUICKLY THAN EXPECTED. AS A RESULT, DEVICE REPLACEMENT WITHIN 90 DAYS OR MORE FREQUENT MONITORING WAS RECOMMENDED. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED. THIS PACEMAKER WAS SUCCESSFULLY REPLACED AND RETURNED TO BOSTON SCIENTIFIC FOR ANALYSIS. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2755931 INGENIO PACEMAKER LWW BOSTON SCIENTIFIC CORPORATION J172 103435

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention| H