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 |