FDA Adverse Event Injury Summary report: N

ENRHYTHM DR

MDR report key: 1861652 · Received October 8, 2010

Report

Report Number
6000144-2010-04770
Event Type
Injury
Date Received
October 8, 2010
Manufacturer
MEDTRONIC MED REL, INC.
Product Code
DXY
PMA / PMN Number
P980035/S38
Removal / Correction Number
Z-1440-2010
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. EVALUATION SUMMARY: (B)(4): WE DID RECEIVE PERFORMANCE DATA COLLECTED FROM THE DEVICE AND HAVE ANALYZED THE DATA. TELEMETERED BATTERY VOLTAGE WAS 2.78 V ON (B)(6) 2010 AND WAS 2.96 V ON THE SAME DAY IN THE DAILY BATTERY VOLTAGE TREND CHART. PRELIMINARY ANALYSIS FOUND THAT THE BATTERY TELEMETERED VALUE MEASURED 2.59 VOLTS. CALCULATIONS BASED ON IMPLANT PARAMETERS INDICATE THAT THE DEVICE HAD MET ITS 99.9% LONGEVITY. FURTHER ANALYSIS OF THE BATTERY CELL INDICATED THAT IT WAS NOT DEPLETED, BUT IT WAS FOUND TO HAVE INTERNAL RESISTANCE EXCEEDING THE SPECIFICATION LIMITS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE WAS AT ERI (ELECTIVE REPLACEMENT INDICATOR) AND THERE WAS CONCERN ABOUT SHORT LONGEVITY. THE DEVICE WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENRHYTHM DR IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC MED REL, INC. P1501DR ASKU

Patients

Seq Age Sex Outcome Treatment
1 87 YR Required Intervention 4076 (X2) IMPLANTABLE PACING LEADS