FDA Adverse Event Injury Summary report: N

ENRHYTHM DR

MDR report key: 1924072 · Received December 14, 2010

Report

Report Number
6000144-2010-06082
Event Type
Injury
Date Received
December 14, 2010
Date of Event
September 1, 2010
Manufacturer
MEDTRONIC MED REL, INC.
Product Code
DXY
PMA / PMN Number
P980035/S38
Removal / Correction Number
Z-1440-2010
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. THE DEVICE IS PART OF THE ADVISORY FOR THIS MODEL. EVALUATION SUMMARY: (B)(4) THE ACTUAL DEVICE WAS NOT RECEIVED FOR EVALUATION. THE PERFORMANCE DATA COLLECTED FROM THE DEVICE WAS ANALYZED AND REVEALED LOW TELEMETERED BATTERY VOLTAGE. ON (B)(6) 2010, THE TELEMETERED BATTERY VOLTAGE WAS 2.48 V WHILE THE DAILY BATTERY VOLTAGE TREND MEASUREMENT WAS 2.85 V.

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. THE DEVICE IS PART OF THE ADVISORY FOR THIS MODEL. EVALUATION SUMMARY: (B)(4) THE PERFORMANCE DATA COLLECTED FROM THE DEVICE WAS ANALYZED AND REVEALED LOW TELEMETERED BATTERY VOLTAGE. ON (B)(6) 2010, THE TELEMETERED BATTERY VOLTAGE WAS 2.48 V WHILE THE DAILY BATTERY VOLTAGE TREND MEASUREMENT WAS 2.85 V. CALCULATIONS BASED ON IMPLANT PARAMETERS INDICATE THAT THE DEVICE HAD MET ITS 99.9% EXPECTED LONGEVITY. ANALYSIS OF THE DEVICE MEMORY FOUND THE ERI (ELECTIVE REPLACEMENT INDICATOR) IS THE RESULT OF HIGH INTERNAL BATTERY RESISTANCE. THIS DEVICE IS PART OF THE FIELD ACTION AND HAS TESTED CONSISTENT WITH THE FIELD ACTION.

Description of Event or Problem · 1

IT WAS REPORTED THAT AT THE PATIENT'S PAST TWO DOCTOR VISITS THE DEVICE BATTERY WAS READING BELOW THE ELECTIVE REPLACEMENT INDICATOR (ERI) POINT, BUT HAD NOT YET TRIGGERED ERI. IT WAS ALSO REPORTED THAT APPROXIMATELY THREE WEEKS LATER AT A SUBSEQUENT DOCTOR VISIT, THE DEVICE WAS STILL READING BELOW THE ERI POINT, BUT HAD NOT YET TRIGGERED ERI. HOWEVER, IT WAS REPORTED THAT THE DEVICE'S NIGHTLY REPORTED BATTERY READINGS OVER THE TWO WEEKS PRECEDING THE LAST DOCTOR VISIT WERE ABOVE THE ERI POINT. THE DEVICE IS STILL IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT AT THE PATIENT'S PAST TWO DOCTOR VISITS THE DEVICE BATTERY WAS READING BELOW THE ELECTIVE REPLACEMENT INDICATOR (ERI) POINT BUT HAD NOT YET TRIGGERED ERI. IT WAS ALSO REPORTED THAT APPROXIMATELY (B)(6) LATER AT A SUBSEQUENT DOCTOR VISIT, THE DEVICE WAS STILL READING BELOW THE ERI POINT BUT HAD NOT YET TRIGGERED ERI. HOWEVER, IT WAS REPORTED THAT THE DEVICE'S NIGHTLY REPORTED BATTERY READINGS OVER THE (B)(6) PRECEDING THE LAST DOCTOR VISIT WERE ABOVE THE ERI POINT. IT WAS FURTHER REPORTED THAT THE DEVICE REACHED ERI AND WAS REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENRHYTHM DR IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC MED REL, INC. P1501DR ASKU

Patients

Seq Age Sex Outcome Treatment
1 70 YR Hospitalization| O| R (B)(4) IMPLANTABLE PACING LEAD| (B)(4) IMPLANTABLE PACING LEAD