FDA Adverse Event Injury Summary report: N

EMBLEM S-ICD

MDR report key: 18436992 · Received January 3, 2024

Report

Report Number
2124215-2024-00175
Event Type
Injury
Date Received
January 3, 2024
Date of Event
December 26, 2023
Report Date
July 23, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWS
UDI-DI
00802526544101
PMA / PMN Number
P110042/S043
Removal / Correction Number
Z-0935-2021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPON RECEIPT AT OUR POST MARKET QUALITY ASSURANCE LABORATORY, THIS S-ICD WAS THOROUGHLY INSPECTED AND ANALYZED. A HIGH CURRENT DRAIN WAS DETECTED, BUT THE BATTERY STILL SUPPORTED FULL DEVICE FUNCTION. DETAILED ANALYSIS CONFIRMED THE IDENTIFIED HIGH CURRENT DRAIN WAS A RESULT OF A COMPROMISED CAPACITOR. THIS RESULTED IN THE OBSERVED PREMATURE BATTERY DEPLETION. IT WAS DETERMINED THAT THE CAPACITOR WAS COMPROMISED DUE TO THE PRESENCE OF EXCESS HYDROGEN IN THE DEVICE CASE. BOSTON SCIENTIFIC ISSUED A FIELD SAFETY NOTICE REGARDING A SUBSET OF EMBLEM DEVICES THAT HAVE A POTENTIAL OF EXHIBITING THIS BEHAVIOR. THIS PARTICULAR DEVICE IS INCLUDED IN THE EMBLEM S-ICD ACCELERATED DEPLETION ADVISORY POPULATION. ADDITIONALLY, REVIEW OF DEVICE MEMORY IDENTIFIED AN ERROR. THE ERROR RESULTED IN SOFTWARE RESETS PERFORMED IN AN ATTEMPT TO CORRECT AN IDENTIFIED MEMORY INCONSISTENCY. THE CAUSE OF THE MEMORY INCONSISTENCY WAS NOT ABLE TO BE DETERMINED THROUGH LABORATORY TESTING BUT WAS LIKELY THE RESULT OF A SINGLE EVENT UPSET CAUSED BY HIGH ENERGY PARTICLES/COSMIC RAYS, OR RADIOACTIVE DECAYING MATERIALS. IN MOST CASES THE S-ICD IS ABLE TO DETECT AND SELF-CORRECT TO MAINTAIN PRIMARY OPERATION.

Additional Manufacturer Narrative · 0

DEVICE MEMORY ANALYSIS IDENTIFIED AN ERROR. THE ERROR RESULTED IN SOFTWARE RESETS PERFORMED IN AN ATTEMPT TO CORRECT AN IDENTIFIED MEMORY INCONSISTENCY. THE CAUSE OF THE MEMORY INCONSISTENCY WAS NOT ABLE TO BE DETERMINED BUT WAS LIKELY THE RESULT OF A SINGLE EVENT UPSET CAUSED BY HIGH ENERGY PARTICLES IN THE ENVIRONMENT. THESE PARTICLES TYPICALLY ARISE FROM THERAPEUTIC IONIZING RADIATION, NATURALLY OCCURRING HIGH ENERGY PARTICLES/COSMIC RAYS, OR RADIOACTIVE DECAYING MATERIALS. IN MOST CASES THE S-ICD IS ABLE TO DETECT AND SELF-CORRECT TO MAINTAIN PRIMARY OPERATION. TECHNICAL SERVICES ADVISED THE PATIENT SHOULD BE SEEN SO THAT THE PATIENT DATA COULD BE RESET, BUT THAT CRITICAL THERAPY REMAINED AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS FOUND BEEPING. UPON REVIEW, A WARM BOOT FAULT CODE WAS RECORDED. THE TECHNICAL SERVICES (TS) OBSERVED THAT THE DEVICE LOG FOR THE PATIENT HAD A SINGLE UPSET EVENT (SEU) LIKE SYMPTOM. THERE WAS NORMAL OPERATION POST THE ALERT, NONETHELESS THE TS CONSERVATIVELY RECOMMEND AN ADDITIONAL PATIENT INITIATED INTERROGATION (PII) AFTER THE DEVICE BEEPER IS RESET TO CONFIRM NORMAL BATTERY OPERATION AS THE DEVICE LOG WAS CONSUMED BY THE SEU SYMPTOM. THE ENGINEER ANALYSIS WAS PERFORMED, AND THE FIRMWARE LOGS SHOWED THAT THERE WAS AN EXCESSIVE NUMBER OF ERRORS DUE TO MEMORY CORRUPTION. THE ERRORS CEASED AFTER THE S-ICD RESET AND THE DEVICE HAS RESTORED TO NORMAL OPERATION. ADDITIONALLY, DATA SHOWS DEVICE POWER CONSUMPTION IS BEGINNING TO INCREASE IN A GRADUAL FASHION, CONSISTENT WITH HYDROGEN DEGRADATION OF A COMPONENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS FOUND BEEPING. UPON REVIEW, A WARM BOOT FAULT CODE WAS RECORDED. THE TECHNICAL SERVICES (TS) OBSERVED THAT THE DEVICE LOG FOR THE PATIENT HAD A SINGLE UPSET EVENT (SEU) LIKE SYMPTOM. THERE WAS NORMAL OPERATION POST THE ALERT, NONETHELESS THE TS CONSERVATIVELY RECOMMEND AN ADDITIONAL PATIENT INITIATED INTERROGATION (PII) AFTER THE DEVICE BEEPER IS RESET TO CONFIRM NORMAL BATTERY OPERATION AS THE DEVICE LOG WAS CONSUMED BY THE SEU SYMPTOM. THE ENGINEER ANALYSIS WAS PERFORMED, AND THE FIRMWARE LOGS SHOWED THAT THERE WAS AN EXCESSIVE NUMBER OF ERRORS DUE TO MEMORY CORRUPTION. THE ERRORS CEASED AFTER THE S-ICD RESET AND THE DEVICE HAS RESTORED TO NORMAL OPERATION. ADDITIONALLY, DATA SHOWS DEVICE POWER CONSUMPTION IS BEGINNING TO INCREASE IN A GRADUAL FASHION, CONSISTENT WITH HYDROGEN DEGRADATION OF A COMPONENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.IT WAS REPORTED THAT THE BATTERY OF THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) 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. A BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) CONSULTANT RECOMMENDED DEVICE REPLACEMENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.ADDITIONAL INFORMATION WAS RECEIVED WHICH INDICATED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS EXPLANTED AND REPLACED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS FOUND BEEPING. UPON REVIEW, A WARM BOOT FAULT CODE WAS RECORDED. THE TECHNICAL SERVICES (TS) OBSERVED THAT THE DEVICE LOG FOR THE PATIENT HAD A SINGLE UPSET EVENT (SEU) LIKE SYMPTOM. THERE WAS NORMAL OPERATION POST THE ALERT, NONETHELESS THE TS CONSERVATIVELY RECOMMEND AN ADDITIONAL PATIENT INITIATED INTERROGATION (PII) AFTER THE DEVICE BEEPER IS RESET TO CONFIRM NORMAL BATTERY OPERATION AS THE DEVICE LOG WAS CONSUMED BY THE SEU SYMPTOM. THE ENGINEER ANALYSIS WAS PERFORMED, AND THE FIRMWARE LOGS SHOWED THAT THERE WAS AN EXCESSIVE NUMBER OF ERRORS DUE TO MEMORY CORRUPTION. THE ERRORS CEASED AFTER THE S-ICD RESET AND THE DEVICE HAS RESTORED TO NORMAL OPERATION. ADDITIONALLY, DATA SHOWS DEVICE POWER CONSUMPTION IS BEGINNING TO INCREASE IN A GRADUAL FASHION, CONSISTENT WITH HYDROGEN DEGRADATION OF A COMPONENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. DEVICE MEMORY ANALYSIS IDENTIFIED AN ERROR. THE ERROR RESULTED IN SOFTWARE RESETS PERFORMED IN AN ATTEMPT TO CORRECT AN IDENTIFIED MEMORY INCONSISTENCY. THE CAUSE OF THE MEMORY INCONSISTENCY WAS NOT ABLE TO BE DETERMINED BUT WAS LIKELY THE RESULT OF A SINGLE EVENT UPSET CAUSED BY HIGH ENERGY PARTICLES IN THE ENVIRONMENT. THESE PARTICLES TYPICALLY ARISE FROM THERAPEUTIC IONIZING RADIATION, NATURALLY OCCURRING HIGH ENERGY PARTICLES/COSMIC RAYS, OR RADIOACTIVE DECAYING MATERIALS. IN MOST CASES THE S-ICD IS ABLE TO DETECT AND SELF-CORRECT TO MAINTAIN PRIMARY OPERATION. TECHNICAL SERVICES ADVISED THE PATIENT SHOULD BE SEEN SO THAT THE PATIENT DATA COULD BE RESET, BUT THAT CRITICAL THERAPY REMAINED AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS FOUND BEEPING. UPON REVIEW, A WARM BOOT FAULT CODE WAS RECORDED. THE TECHNICAL SERVICES (TS) OBSERVED THAT THE DEVICE LOG FOR THE PATIENT HAD A SINGLE UPSET EVENT (SEU) LIKE SYMPTOM. THERE WAS NORMAL OPERATION POST THE ALERT, NONETHELESS THE TS CONSERVATIVELY RECOMMEND AN ADDITIONAL PATIENT INITIATED INTERROGATION (PII) AFTER THE DEVICE BEEPER IS RESET TO CONFIRM NORMAL BATTERY OPERATION AS THE DEVICE LOG WAS CONSUMED BY THE SEU SYMPTOM. THE ENGINEER ANALYSIS WAS PERFORMED, AND THE FIRMWARE LOGS SHOWED THAT THERE WAS AN EXCESSIVE NUMBER OF ERRORS DUE TO MEMORY CORRUPTION. THE ERRORS CEASED AFTER THE S-ICD RESET AND THE DEVICE HAS RESTORED TO NORMAL OPERATION. ADDITIONALLY, DATA SHOWS DEVICE POWER CONSUMPTION IS BEGINNING TO INCREASE IN A GRADUAL FASHION, CONSISTENT WITH HYDROGEN DEGRADATION OF A COMPONENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. IT WAS REPORTED THAT THE BATTERY OF THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) 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. A BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) CONSULTANT RECOMMENDED DEVICE REPLACEMENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS FOUND BEEPING. UPON REVIEW, A WARM BOOT FAULT CODE WAS RECORDED. THE TECHNICAL SERVICES (TS) OBSERVED THAT THE DEVICE LOG FOR THE PATIENT HAD A SINGLE UPSET EVENT (SEU) LIKE SYMPTOM. THERE WAS NORMAL OPERATION POST THE ALERT, NONETHELESS THE TS CONSERVATIVELY RECOMMEND AN ADDITIONAL PATIENT INITIATED INTERROGATION (PII) AFTER THE DEVICE BEEPER IS RESET TO CONFIRM NORMAL BATTERY OPERATION AS THE DEVICE LOG WAS CONSUMED BY THE SEU SYMPTOM. THE ENGINEER ANALYSIS WAS PERFORMED, AND THE FIRMWARE LOGS SHOWED THAT THERE WAS AN EXCESSIVE NUMBER OF ERRORS DUE TO MEMORY CORRUPTION. THE ERRORS CEASED AFTER THE S-ICD RESET AND THE DEVICE HAS RESTORED TO NORMAL OPERATION. ADDITIONALLY, DATA SHOWS DEVICE POWER CONSUMPTION IS BEGINNING TO INCREASE IN A GRADUAL FASHION, CONSISTENT WITH HYDROGEN DEGRADATION OF A COMPONENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. IT WAS REPORTED THAT THE BATTERY OF THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) 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. A BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) CONSULTANT RECOMMENDED DEVICE REPLACEMENT. THIS S-ICD REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED WHICH INDICATED THAT, THIS SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) WAS EXPLANTED AND REPLACED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
628543 EMBLEM S-ICD SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD) LWS BOSTON SCIENTIFIC CORPORATION A209 105895 00802526544101

Patients

Seq Age Sex Outcome Treatment
1 29 YR Male Hospitalization| R