FDA Adverse Event Malfunction Summary report: N

ZEPHYR XL DR

MDR report key: 1896605 · Received November 10, 2010

Report

Report Number
2017865-2010-05336
Event Type
Malfunction
Date Received
November 10, 2010
Date of Event
September 16, 2010
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
DXY
PMA / PMN Number
P880086
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT BATTERY DEPLETION WAS OCCURRING FASTER THAN EXPECTED. BATTERY DATA WAS 2.71 V, 15 UA, 2.0 KOHMS, WITH A REMAINING LONGEVITY OF 1.3 TO 2.0 YEARS. HOWEVER, BASED ON THE GIVEN CURRENT DRAIN OF 15 UA, THE ESTIMATED REMAINING LONGEVITY FROM IMPLANT TO ELECTIVE REPLACEMENT INDICATOR (ERI) WAS CALCULATED TO BE 4.1 YEARS. A PATIENT FOLLOW-UP WAS SCHEDULED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ZEPHYR XL DR IMPLANTABLE PACEMAKER PULSE GENERATOR DXY ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION 5820 NA

Patients

Seq Age Sex Outcome Treatment
1 66 YR