FDA Adverse Event Malfunction Summary report: N

OPTIMIZER SMART MINI

MDR report key: 19471670 · Received June 5, 2024

Report

Report Number
3012563838-2024-00021
Event Type
Malfunction
Date Received
June 5, 2024
Date of Event
May 22, 2024
Report Date
June 5, 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 OCTOBER 26, 2023.

Description of Event or Problem · 0

ON (B)(6) 2024, A PATIENT IN GERMANY IMPLANTED WITH AN OPTIMIZER SMART MINI (OSM) IMPLANTABLE PULSE GENERATOR (IPG) CALLED THE IMPULSE DYNAMICS TECHNICAL SUPPORT HOTLINE TO REPORT THAT AN A9 ERROR HAD APPEARED ON THEIR IPG CHARGER WHEN THEY ATTEMPTED TO CHARGE THE IPG. THE PATIENT WAS SEEN THE NEXT DAY BY AN IMPULSE DYNAMICS FIELD REPRESENTATIVE WHO INTERROGATED AND RESET THE PATIENT'S IPG. 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'S IPG WAS THEN UPGRADED TO THE LATEST 1.11.0 FIRMWARE, WHICH IS NOW ALSO APPROVED AND AVAILABLE IN THE EU. THIS FIRMWARE CONTAINS THE PERMANENT FIX FOR THIS HCC ISSUE, AS DOCUMENTED IN PREVIOUS COMMUNICATIONS BETWEEN IMPULSE DYNAMICS AND FDA. 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
1523389 OPTIMIZER SMART MINI IMPLANTABLE PULSE GENERATOR QFV IMPULSE DYNAMICS USA, INC. CCM X11 00810003380098

Patients

Seq Age Sex Outcome Treatment
1 NA Male