FDA Adverse Event Malfunction Summary report: N

OPTIMIZER SMART MINI

MDR report key: 19643418 · Received July 1, 2024

Report

Report Number
3012563838-2024-00023
Event Type
Malfunction
Date Received
July 1, 2024
Date of Event
June 6, 2024
Report Date
July 1, 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

Description of Event or Problem · 0

DURING A ROUTINE 18-MONTH PATIENT FOLLOW-UP VISIT ON JUNE 6, 2024, THE PATIENT INFORMED THE IMPULSE DYNAMICS (ID) REPRESENTATIVE THAT THEIR CHARGER HAD NOT BEEN WORKING SINCE THEIR LAST FOLLOW-UP VISIT 6 MONTHS PRIOR. THE REP CONFIRMED THE PATIENT'S CHARGER DID INDEED HAVE A DEPLETED BATTERY AND BEGAN CHARGING THE CHARGER. THE REP ATTEMPTED TO INTERROGATE THE PATIENT'S OPTIMIZER SMART MINI (OSM) IMPLANTABLE PULSE GENERATOR (IPG), BUT THE DEVICE COULD NOT BE INTERROGATED DUE TO LOW BATTERY. MULTIPLE ATTEMPTS TO CHARGE THE DEVICE RESULTED IN A TEMPERATURE ERROR DISPLAYING ON THE CHARGER AFTER VARIOUS PERIODS OF TIME ANYWHERE FROM 1 O MINUTES TO ONLY A FEW SECONDS. THE IPG WAS ABLE TO BE CHARGED SUFFICIENTLY FOR THE REP TO INTERROGATE THE DEVICE, WHICH YIELDED A "TELEMET ERROR: DOWN_ TEMP _INTEGRITY 3" ERROR. AFTER IMMEDIATE REVIEW OF THE DEVICE LOG FILES BY MEMBERS OF THE ID TECHNICAL OPERATIONS AND PRODUCT DEVELOPMENT TEAMS, THE REP WAS INSTRUCTED TO WAIT 20 MINUTES FOR THE IPG THERMOSTAT TO RESET ITSELF BEFORE CHARGING WAS INITIATED AGAIN. EVEN AFTER FOLLOWING THIS INSTRUCTION, THE SAME TEMPERATURE ERROR PERSISTED WHEN CHARGING THE IPG WAS ATTEMPTED. ANALYSIS OF THE IPG LOG FILES POINT TO PRELIMINARY EVIDENCE OF AN IPG HARDWARE PROBLEM. HOWEVER, THIS IS NOT POSSIBLE TO CONFIRM UNTIL A FULL EVALUATION OF THE DEVICE IS CONDUCTED. BASED ON THIS, ID REPRESENTATIVES HAVE MET WITH THE IMPLANTING PHYSICIAN, WHO WILL THEN MEET WITH THE PATIENT IN THE COMING WEEKS TO SEE IF THEY ARE WILLING TO HAVE THEIR IPG REPLACED. IT IS EXPECTED THAT THIS DEVICE WILL BE EXPLANTED AND REPLACED, BUT A REVISION SURGERY HAS NOT BEEN SCHEDULED AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
616600 OPTIMIZER SMART MINI IMPLANTABLE PULSE GENERATOR QFV IMPULSE DYNAMICS USA, INC. CCM X11 H4673 00810003380098

Patients

Seq Age Sex Outcome Treatment
1 NA Female