FDA Adverse Event Malfunction Summary report: N

SPRINT QUATTRO

MDR report key: 1922631 · Received December 13, 2010

Report

Report Number
2182208-2010-00952
Event Type
Malfunction
Date Received
December 13, 2010
Manufacturer
MEDTRONIC, INC.
Product Code
LWS
PMA / PMN Number
P920015/S17
Removal / Correction Number
ASKU
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE U.S. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE 6949 SPRINT QUATTRO LEADS COMMONLY HAVE IMPEDANCE INCREASES YET NO SENSING OR PACING THRESHOLD PROBLEMS. DR (B)(6) WOULD LIKE TO INVESTIGATE THIS NOTED BEHAVIOR MORE THOROUGHLY. NO PATIENT OR SPECIFIC LEAD INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPRINT QUATTRO IMPLANTABLE TACHY LEAD LWS MEDTRONIC, INC. 6944 ASKU

Patients

Seq Age Sex Outcome Treatment
1 Other