FDA Adverse Event Malfunction Summary report: N

CAPSUREFIX NOVUS LEAD

MDR report key: 17530178 · Received August 12, 2023

Report

Report Number
MW5137098
Event Type
Malfunction
Date Received
August 12, 2023
Report Date
October 12, 2022
Manufacturer
MEDTRONIC
Product Code
NVN
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THE RIGHT ATRIAL IRA) LEAD EXHIBITED OVER SENSED NOISY SIGNALS. THE PACING RATE ALSO WENT TO LOW VALUES CAUSING SYMPTOMS AS PALPITATIONS TO THE PATIENT. THESE SYMPTOMS HAVE BEEN PRESENT FOR A COUPLE OF YEARS. THE DEVICE WAS REPROGRAMMED AND THE PATIENT FELT WORSE. THE PATIENT IS VENTRICULAR PACING DEPENDENT BUT HAS AN UNDERLYING VENTRICULAR PACE OF 30 BPM. THERE WAS ALSO A RECORDED EPISODE WHERE NOISY SIGNALS ARE PRESENT WITH NORMAL SINUS RHYTHM, THEN THE DEVICE INHIBITS PACING AND THE RHYTHM REACHES A LOWER RATE. WHEN THE DEVICE INHIBITS PACING, NO MORE THAN 2 SECONDS OF INHIBITION WAS OBSERVED. TO DATE, THE LEAD REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
783618 CAPSUREFIX NOVUS LEAD DRUG ELUTING PERMANENT RIGHT VENTRICULAR (RV) OR RIGHT ATRIAL (RA) PACEMAKER ELE NVN MEDTRONIC 5076

Patients

Seq Age Sex Outcome Treatment
1 Unknown