FDA Adverse Event Injury Summary report: N

ENDOTAK RELIANCE S

MDR report key: 15848616 · Received November 22, 2022

Report

Report Number
2124215-2022-48562
Event Type
Injury
Date Received
November 22, 2022
Date of Event
November 3, 2022
Report Date
January 17, 2023
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWS
UDI-DI
00802526531118
PMA / PMN Number
P910073/S039
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPON RECEIPT AT OUR POST MARKET QUALITY ASSURANCE LABORATORY, A THOROUGH EVALUATION OF THE LEAD WAS PERFORMED. TESTING WAS COMPLETED TO ASSESS LEAD ELECTRICAL PERFORMANCE AND INNER/OUTER INSULATION INTEGRITY. MEASUREMENTS THROUGHOUT THESE TESTS WERE WITHIN NORMAL LIMITS. MICROSCOPIC INSPECTIONS OF THE TERMINAL PIN ASSEMBLY, LEAD BODY, AND ELECTRODE TIP FOUND NO ANOMALIES. LABORATORY TESTING WAS UNABLE TO REPRODUCE THE REPORTED CLINICAL OBSERVATIONS AND DETAILED ANALYSIS DID NOT REVEAL ANY ABNORMALITIES. LABORATORY ANALYSIS DID NOT IDENTIFY ANY LEAD CHARACTERISTICS THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED CLINICAL OBSERVATIONS.

Additional Manufacturer Narrative · 0

CORRECTION, H6 CODE ADDED. F1907 UPON RECEIPT AT OUR POST MARKET QUALITY ASSURANCE LABORATORY, A THOROUGH EVALUATION OF THE LEAD WAS PERFORMED. TESTING WAS COMPLETED TO ASSESS LEAD ELECTRICAL PERFORMANCE AND INNER/OUTER INSULATION INTEGRITY. MEASUREMENTS THROUGHOUT THESE TESTS WERE WITHIN NORMAL LIMITS. MICROSCOPIC INSPECTIONS OF THE TERMINAL PIN ASSEMBLY, LEAD BODY, AND ELECTRODE TIP FOUND NO ANOMALIES. LABORATORY TESTING WAS UNABLE TO REPRODUCE THE REPORTED CLINICAL OBSERVATIONS AND DETAILED ANALYSIS DID NOT REVEAL ANY ABNORMALITIES. LABORATORY ANALYSIS DID NOT IDENTIFY ANY LEAD CHARACTERISTICS THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED CLINICAL OBSERVATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A RIGHT VENTRICULAR (RV) LEAD EXTRACTION, THIS RV LEAD WAS AN ATTEMPT IMPLANT. THE PHYSICIAN NOTICED THAT DURING THIS LEAD IMPLANTATION THE LEAD WENT EXTRAVASCULAR AND REMOVED IT IMMEDIATELY. FOLLOWING, THE PATIENT DEVELOPED HYPOTENSION, PERICARDIAL EFFUSION AND CARDIAC ARREST. THE PHYSICIAN PERFORMED A HEART OPEN SURGERY, AND IT WAS NOTED THAT THE OLD RV LEAD WAS EXTRAVASCULAR PRIOR TO REMOVAL WITH THE LASER. THE PATIENT RECEIVED A NEW SYSTEM AND WAS DISCHARGED FROM THE HOSPITAL FOR ROUTINE FOLLOW UP. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A RIGHT VENTRICULAR (RV) LEAD EXTRACTION, THIS RV LEAD WAS AN ATTEMPT IMPLANT. THE PHYSICIAN NOTICED THAT DURING THIS LEAD IMPLANTATION THE LEAD WENT EXTRAVASCULAR AND REMOVED IT IMMEDIATELY. FOLLOWING, THE PATIENT DEVELOPED HYPOTENSION, PERICARDIAL EFFUSION AND CARDIAC ARREST. THE PHYSICIAN PERFORMED A HEART OPEN SURGERY, AND IT WAS NOTED THAT THE OLD RV LEAD WAS EXTRAVASCULAR PRIOR TO REMOVAL WITH THE LASER. THE PATIENT RECEIVED A NEW SYSTEM AND WAS DISCHARGED FROM THE HOSPITAL FOR ROUTINE FOLLOW UP. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A RIGHT VENTRICULAR (RV) LEAD EXTRACTION, THIS RV LEAD WAS AN ATTEMPT IMPLANT. THE PHYSICIAN NOTICED THAT DURING THIS LEAD IMPLANTATION THE LEAD WENT EXTRAVASCULAR AND REMOVED IT IMMEDIATELY. FOLLOWING, THE PATIENT DEVELOPED HYPOTENSION, PERICARDIAL EFFUSION AND CARDIAC ARREST. THE PHYSICIAN PERFORMED A HEART OPEN SURGERY, AND IT WAS NOTED THAT THE OLD RV LEAD WAS EXTRAVASCULAR PRIOR TO REMOVAL WITH THE LASER. THE PATIENT RECEIVED A NEW SYSTEM AND WAS DISCHARGED FROM THE HOSPITAL FOR ROUTINE FOLLOW UP. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247647 ENDOTAK RELIANCE S IMPLANTABLE LEAD LWS BOSTON SCIENTIFIC CORPORATION 0138 303028 00802526531118

Patients

Seq Age Sex Outcome Treatment
1 77 YR Male Required Intervention| L| H