FDA Adverse Event Malfunction Summary report: N

UFM W 16MM 3/8CIR 64MM KN 24PK

MDR report key: 17278263 · Received July 7, 2023

Report

Report Number
0002242056-2023-00019
Event Type
Malfunction
Date Received
July 7, 2023
Date of Event
May 13, 2023
Report Date
April 16, 2024
Manufacturer
A&E MEDICAL CORPORATION
Product Code
LDF
UDI-DI
10841291100263
PMA / PMN Number
K803086
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. D2: DEVICE PRODUCT CODE: LDF REVIEW OF THE DEVICE HISTORY RECORDS IDENTIFIED NO DEVIATIONS OR ANOMALIES DURING MANUFACTURING. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THE REPORTED EVENT IS UNCONFIRMED. IF ANY FURTHER INFORMATION IS FOUND THAT WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS. THIS REPORT IS BEING SUBMITTED TO UPDATE ADDITIONAL INFORMATION IN SECTIONS B4, B5, G3, G6, H2, H3, H4, H6, AND H10. CORRECTIONS ARE IN SECTIONS B1, D2, D4, AND H1.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED TO UPDATE ADDITIONAL INFORMATION IN SECTION B4, B5, G3, G6, H2, H4, H6 AND H10. CORRECTIONS ARE IN SECTIONS: A1, A2, A3, A4, A5, E1, AND E3. A4:PATIENT WEIGHT: 3.166 KG ((B)(6) 2023), 3.502 KG ((B)(6) 2023).

Additional Manufacturer Narrative · 0

THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. D2: DEVICE PRODUCT CODE: LDF. NO PRODUCT WAS RETURNED OR PICTURES PROVIDED; VISUAL AND DIMENSIONAL EVALUATIONS COULD NOT BE PERFORMED. LOT IDENTIFICATION IS NECESSARY FOR REVIEW OF DEVICE HISTORY RECORDS, LOT IDENTIFICATION WAS NOT PROVIDED. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. THE REPORTED EVENT CANNOT BE CONFIRMED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED TO UPDATE ADDITIONAL INFORMATION IN SECTION B4, B5, D4, E1, E3, G3, G6, H2, H6 AND H10.

Additional Manufacturer Narrative · 0

ZIMMER BIOMET COMPLAINT (B)(4). D2: DEVICE PRODUCT CODE: LDH. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Description of Event or Problem · 0

IT IS REPORTED THAT THE PATIENT UNDERWENT A CARDIAC PROCEDURE, AND TEMPORARY PACING WIRES WERE PLACED. ATRIAL LEADS FRAYED AND FRACTURED OFF AT THE END OF THE METAL PIECE; THEREFORE, PACING WAS LOST. THE CT PHYSICIAN'S ASSISTANT (PA) STRIPPED WIRE TO DIRECTLY EXPOSE AND PLACE BACK INTO THE TEMPORARY PACEMAKER AS A TEMPORARY SOLUTION. THE PA HAD NEEDED TO STRIP FURTHER AT LEAST ONE OTHER TIME. THE VENTRICULAR LEADS ARE INTACT, BUT TENUOUS AND APPEAR AS THOUGH THEY COULD FRACTURE AT ANY POINT IN TIME. THE PERMANENT LEADS HAVE ALREADY BEEN PLACED WITH SURGICAL PLAN TO EXPOSE PERMANENT PACING LEADS AND PLACE PERMANENT PACEMAKER. THE SURGERY DATE HAS BEEN MOVED UP FOUR DAYS. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.

Description of Event or Problem · 0

NO FURTHER EVENT INFORMATION IS AVAILABLE AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1974124 UFM W 16MM 3/8CIR 64MM KN 24PK ELECTRODE, PACEMAKER, TEMPORARY LDF A&E MEDICAL CORPORATION N/A 03363 10841291100263
2056208 UFM W 16MM 3/8CIR 64MM KN 24PK ELECTRODE, PACEMAKER, TEMPORARY LDF A&E MEDICAL CORPORATION N/A 03363 10841291100263

Patients

Seq Age Sex Outcome Treatment
1 1 MO Female Required Intervention