FDA Adverse Event Injury Summary report: N

ATLAS PLUS VR

MDR report key: 1895845 · Received November 10, 2010

Report

Report Number
2017865-2010-04755
Event Type
Injury
Date Received
November 10, 2010
Date of Event
September 9, 2010
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
LWS
PMA / PMN Number
P910023
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED.

Additional Manufacturer Narrative · 1

ANALYSIS CONFIRMED THE REPORTED OUTPUT ANOMALY. AN ARC MARK WAS OBSERVED ON THE ICD CAN. FURTHER EVALUATION OF THE ARC MARKS INDICATED THE PRESENCE OF LEAD MATERIAL. THE DAMAGE FOUND IS CONSISTENT WITH THAT CAUSED BY ARCING BETWEEN THE HV CONDUCTOR AND THE ICD CAN.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE SHOWED AN ALERT STATING OUTPUT CIRCUIT DAMAGE DURING A HV INTEGRITY CHECK. THE IMPEDANCE TRENDS WERE CLEARED ON THE DEVICE. WHEN THE IMPEDANCE TESTING WAS INITIATED THE SAME ALERT APPEARED. NO DAMAGE WAS SEEN ON THE DEVICE. THE DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ATLAS PLUS VR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR LWS ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION V-193 NA

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention (B)(4) (B)(4)