FDA Adverse Event Injury Summary report: N

EMBLEM S-ICD

MDR report key: 17836088 · Received September 28, 2023

Report

Report Number
2124215-2023-53398
Event Type
Injury
Date Received
September 28, 2023
Date of Event
September 20, 2023
Report Date
November 6, 2023
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWS
UDI-DI
00802526599200
PMA / PMN Number
P110042/S077
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IF PERTINENT INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

CORRECTION TO DEVICE CODE TABLE, ADDED 2405: THERAPY DELIVERY DELIVERY/EFFECTIVENESS PROBLEM.

Additional Manufacturer Narrative · 0

THE RETURNED DEVICE WAS THOROUGHLY INSPECTED AND ANALYZED. VISUAL INSPECTION IDENTIFIED NO ANOMALIES. THE DEVICE WAS ABLE TO BE INTERROGATED AND A MEMORY DOWNLOAD WAS PERFORMED SUCCESSFULLY. THE DEVICE WAS THEN EXPOSED TO SIMULATED HEART LOAD CONDITIONS, AND THE DEFIBRILLATION AND SENSING FUNCTIONS WERE TESTED. THE DEVICE OPERATED APPROPRIATELY, ACCORDING TO ITS PERFORMANCE SPECIFICATIONS WITH NO OUT OF RANGE MEASUREMENTS OR INTERRUPTIONS IN THERAPY OUTPUT. ANALYSIS DID NOT IDENTIFY ANY DEVICE CHARACTERISTICS THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED CLINICAL OBSERVATIONS. CORRECTION TO DEVICE CODE TABLE, ADDED 2405: THERAPY DELIVERY DELIVERY/EFFECTIVENESS PROBLEM.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS ELECTRODE AND SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WERE IMPLANTED IN WHICH 3 DEFIBRILLATION THRESHOLD (DFT) TESTS WERE ATTEMPTED AND UNSUCCESSFUL. THIS PATIENT WAS BROUGHT BACK THE NEXT DAY FOR NON-INVASIVE PROGRAMMED STIMULATION (NIPS) TESTING AND ADDITIONAL DFT WAS PERFORMED AND UNSUCCESSFUL. THE ELECTRODE WAS REVISED AND MOVED AND DFT PERFORMED AFTER WHICH WAS AGAIN UNSUCCESSFUL. THE PHYSICIAN OPTED TO REMOVE THE S-ICD SYSTEM AND REPLACE WITH A TRANSVENOUS (TV) SYSTEM IN WHICH A SUCCESSFUL DFT WAS PERFORMED. THE TV SYSTEM REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS ELECTRODE AND SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WERE IMPLANTED IN WHICH 3 DEFIBRILLATION THRESHOLD (DFT) TESTS WERE ATTEMPTED AND UNSUCCESSFUL. THIS PATIENT WAS BROUGHT BACK THE NEXT DAY FOR NON-INVASIVE PROGRAMMED STIMULATION (NIPS) TESTING AND ADDITIONAL DFT WAS PERFORMED AND UNSUCCESSFUL. THE ELECTRODE WAS REVISED AND MOVED AND DFT PERFORMED AFTER WHICH WAS AGAIN UNSUCCESSFUL. THE PHYSICIAN OPTED TO REMOVE THE S-ICD SYSTEM AND REPLACE WITH A TRANSVENOUS (TV) SYSTEM IN WHICH A SUCCESSFUL DFT WAS PERFORMED. THE TV SYSTEM REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS ELECTRODE AND SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WERE IMPLANTED IN WHICH 3 DEFIBRILLATION THRESHOLD (DFT) TESTS WERE ATTEMPTED AND UNSUCCESSFUL. THIS PATIENT WAS BROUGHT BACK THE NEXT DAY FOR NON-INVASIVE PROGRAMMED STIMULATION (NIPS) TESTING AND ADDITIONAL DFT WAS PERFORMED AND UNSUCCESSFUL. THE ELECTRODE WAS REVISED AND MOVED AND DFT PERFORMED AFTER WHICH WAS AGAIN UNSUCCESSFUL. THE PHYSICIAN OPTED TO REMOVE THE S-ICD SYSTEM AND REPLACE WITH A TRANSVENOUS (TV) SYSTEM IN WHICH A SUCCESSFUL DFT WAS PERFORMED. THE TV SYSTEM REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2247080 EMBLEM S-ICD IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (NON-CRT) LWS BOSTON SCIENTIFIC CORPORATION 3501 247935 00802526599200

Patients

Seq Age Sex Outcome Treatment
1 45 YR Male Hospitalization| R