FDA Adverse Event Malfunction Summary report: N

COGNIS

MDR report key: 1873866 · Received October 19, 2010

Report

Report Number
2124215-2010-17602
Event Type
Malfunction
Date Received
October 19, 2010
Date of Event
August 31, 2010
Report Date
August 31, 2010
Manufacturer
GUIDANT CRM CLONMEL IRELAND
Product Code
NIK
PMA / PMN Number
P010012
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THERE WAS NO ADDITIONAL INFORMATION AVAILABLE.

Description of Event or Problem · 1

BOSTON SCIENTIFIC CRM RECEIVED INFORMATION THAT THIS LOCAL REPRESENTATIVE CONTACTED TECHNICAL SERVICES TO REQUEST A LONGEVITY COMPARISON BETWEEN RENEWAL AND COGNIS DEVICES. TECHNICAL SERVICES PROVIDED A LONGEVITY ESTIMATION AND THE LOCAL REPRESENTATIVE EXPRESSED CONCERN ABOUT THE EXPECTED LONGEVITY OF COGNIS DEVICES (AS COMPARED TO RENEWAL DEVICES) SINCE THE BATTERY CHEMISTRY HAD BEEN IMPROVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COGNIS IMPLANTABLE CHF PULSE GENERATOR NIK GUIDANT CRM CLONMEL IRELAND N119

Patients

Seq Age Sex Outcome Treatment
1 60 YR H175| 4479| H215| 0184| 4512