FDA Adverse Event Injury Summary report: N

VIGILANT EL ICD DR

MDR report key: 19715780 · Received July 10, 2024

Report

Report Number
2124215-2024-42674
Event Type
Injury
Date Received
July 10, 2024
Date of Event
March 2, 2024
Report Date
November 4, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWS
UDI-DI
00802526587801
PMA / PMN Number
P960040
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IF PERTINENT INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. CORRECTION TO H6: UPDATED PATIENT CODES FROM E2403/NO CLINICAL SIGN, SYMPTOMS OR CONDITIONS TO E210401/SHOCK FROM PATIENT LEAD(S).

Additional Manufacturer Narrative · 0

IF PERTINENT INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

IF PERTINENT INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. CORRECTION TO H6: UPDATED PATIENT CODES FROM E2403/NO CLINICAL SIGN, SYMPTOMS OR CONDITIONS TO E210401/SHOCK FROM PATIENT LEAD(S).

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) SYSTEM WAS SUSPECTED TO HAVE DELIVERED ATRIAL PACING THAT INDUCED ATRIAL TACHYCARDIA, AND ELECTROGRAM (EGM) REVIEW WAS REQUESTED. ANTI-TACHYCARDIA PACING (ATP) DID NOT TERMINATE THE RHYTHM, HOWEVER A SUBSEQUENT 41J SHOCK CONVERTED THE RHYTHM. IT WAS NOTED THAT THE PATIENT HAD NOT BEEN SEEN SINCE (B)(6) 2023, AND SEVERAL CONSULT REPORTS HAVE BEEN SEEN. ADDITIONALLY, IT WAS SUSPECTED THAT AN INAPPROPRIATE SHOCK WAS DELIVERED IN A RECENT TACHY EPISODE FROM MARCH 2. SINCE THEN, A TOTAL OF SIX SHOCKS AND NINE ATTEMPTS OF ATP HAVE BEEN DELIVERED. TECHNICAL SERVICES (TS) DISCUSSED TROUBLESHOOTING OPTIONS AND PROGRAMMING CONSIDERATIONS. THIS ICD REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) SYSTEM WAS SUSPECTED TO HAVE DELIVERED ATRIAL PACING THAT INDUCED ATRIAL TACHYCARDIA, AND ELECTROGRAM (EGM) REVIEW WAS REQUESTED. ANTI-TACHYCARDIA PACING (ATP) DID NOT TERMINATE THE RHYTHM, HOWEVER A SUBSEQUENT 41J SHOCK CONVERTED THE RHYTHM. IT WAS NOTED THAT THE PATIENT HAD NOT BEEN SEEN SINCE (B)(6) 2023, AND SEVERAL CONSULT REPORTS HAVE BEEN SEEN. ADDITIONALLY, IT WAS SUSPECTED THAT AN INAPPROPRIATE SHOCK WAS DELIVERED IN A RECENT TACHY EPISODE FROM (B)(6). SINCE THEN, A TOTAL OF SIX SHOCKS AND NINE ATTEMPTS OF ATP HAVE BEEN DELIVERED. TECHNICAL SERVICES (TS) DISCUSSED TROUBLESHOOTING OPTIONS AND PROGRAMMING CONSIDERATIONS. THIS ICD REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) SYSTEM WAS SUSPECTED TO HAVE DELIVERED ATRIAL PACING THAT INDUCED ATRIAL TACHYCARDIA, AND ELECTROGRAM (EGM) REVIEW WAS REQUESTED. ANTI-TACHYCARDIA PACING (ATP) DID NOT TERMINATE THE RHYTHM, HOWEVER A SUBSEQUENT 41J SHOCK CONVERTED THE RHYTHM. IT WAS NOTED THAT THE PATIENT HAD NOT BEEN SEEN SINCE SEPTEMBER 2023, AND SEVERAL CONSULT REPORTS HAVE BEEN SEEN. ADDITIONALLY, IT WAS SUSPECTED THAT AN INAPPROPRIATE SHOCK WAS DELIVERED IN A RECENT TACHY EPISODE FROM MARCH 2. SINCE THEN, A TOTAL OF SIX SHOCKS AND NINE ATTEMPTS OF ATP HAVE BEEN DELIVERED. TECHNICAL SERVICES (TS) DISCUSSED TROUBLESHOOTING OPTIONS AND PROGRAMMING CONSIDERATIONS. THIS ICD REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION RECEIVED OVER A YEAR LATER REPORTED THAT THIS ICD STORED AN EPISODE WHERE IT WAS SUSPECTED THAT A BURST OF ANTI-TACHYCARDIA PACING (ATP) AND ONE SHOCK WERE DELIVERED DUE TO AN ATRIAL ARRHYTHMIA. THIS ICD REMAINS IN SERVICE. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2040848 VIGILANT EL ICD DR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (NON-CRT) LWS BOSTON SCIENTIFIC CORPORATION D233 636696 00802526587801

Patients

Seq Age Sex Outcome Treatment
1 77 YR Female Other