FDA Adverse Event Malfunction Summary report: N

OPTIMIZER SMART MINI

MDR report key: 19059697 · Received April 8, 2024

Report

Report Number
3012563838-2024-00016
Event Type
Malfunction
Date Received
April 8, 2024
Date of Event
March 26, 2024
Report Date
April 8, 2024
Manufacturer
IMPULSE DYNAMICS USA, INC.
Product Code
QFV
UDI-DI
00810003380098
PMA / PMN Number
P180036/S007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING FILED IN RESPONSE TO THE OUTCOME OF DISCUSSIONS BETWEEN IMPULSE DYNAMICS AND FDA ON (B)(6) 2023.

Description of Event or Problem · 0

ON (B)(6) 2024, A PATIENT IN GERMANY CALLED THE IMPULSE DYNAMICS PATIENT HOTLINE TO REPORT AN A9 ERROR DISPLAYING ON THEIR CHARGER WHILE ATTEMPTING TO CHARGE THEIR SMART MINI IMPLANTABLE PULSE GENERATOR (IPG). AN IMPULSE DYNAMICS FIELD REPRESENTATIVE SAW THE PATIENT THE NEXT DAY ((B)(6)) AND INTERROGATED AND RESET THE DEVICE. UPON INTERROGATION, THE IPG YIELDED A "TELEMET ERROR: DOWN_CHARGE_CURRENT_TOO_HIGH" ERROR. ANALYSIS OF THE IPG LOG FILES CONFIRMED THIS IS THE SAME, KNOWN HIGH CHARGE CURRENT (HCC) ISSUE THAT HAS AFFECTED SEVERAL OTHER IPGS. THE PATIENT WAS ADVISED TO CHARGE THEIR IPG ONLY TO 75 PERCENT BATTERY CAPACITY TO AVOID THE IPG ENTERING DOWN MODE AGAIN. THE RECTIFICATION OF THIS FIRMWARE BUG IS CURRENTLY UNDER REVIEW FOR EU APPROVAL. THE PATIENT HAS BEEN RECEIVING CCM THERAPY AS NORMAL SINCE THE RESET OF THE INITIAL DOWN MODE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
412629 OPTIMIZER SMART MINI IMPLANTABLE PULSE GENERATOR QFV IMPULSE DYNAMICS USA, INC. CCM X11 00810003380098

Patients

Seq Age Sex Outcome Treatment
1 NA Male