FDA Adverse Event Death Summary report: N

2124215-2011-04011

MDR report key: 2008695 · Received March 7, 2011

Report

Report Number
2124215-2011-04011
Event Type
Death
Date Received
March 7, 2011
Date of Event
February 11, 2011
Report Date
February 11, 2011
Manufacturer
GUIDANT PUERTO RICO BV
Product Code
LWS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ATTEMPTS MADE TO OBTAIN THE SPECIFIC DEVICE INFORMATION FOR THE REPORTED COMPLICATIONS AND DEATHS HAVE BEEN UNSUCCESSFUL. AT THIS TIME, NO ADDITIONAL INFORMATION IS AVAILABLE. REFERENCE: ALZUETA J, LINDE A, BARRERA A, PENA J, PEINADO R. SPANISH IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR REGISTRY. SIXTH OFFICIAL REPORT OF THE SPANISH SOCIETY OF CARDIOLOGY WORKING GROUP ON IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS (2009). REV ESP CARDIOL. 2010; 63(12): (B)(4).

Description of Event or Problem · 1

BOSTON SCIENTIFIC RECEIVED INFORMATION THROUGH A JOURNAL ARTICLE OF A STUDY LOOKING AT IMPLANTABLE CARDIOVERTER DEFIBRILLATORS (ICDS) AND CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATORS (CRT-DS) OVER A PERIOD OF TIME. THE DEVICES USED IN THIS STUDY WERE FROM VARIOUS MANUFACTURERS, INCLUDING BOSTON SCIENTIFIC. IN TOTAL, 4108 DEVICE IMPLANTATIONS WERE REPORTED, WHICH COMPRISED 88.6% OF THE ESTIMATED TOTAL NUMBER OF IMPLANTATIONS CARRIED OUT. FIVE OF THE PATIENTS DIED DURING IMPLANTATION. IN ADDITION, 18 COMPLICATIONS DURING IMPLANTATION WERE REPORTED: 1 CASE OF TAMPONADE, 4 OF PNEUMOTHORAX AND 13 UNSPECIFIED. THE MANUFACTURER, MODEL AND SERIAL INFORMATION FOR THE DEVICE INVOLVED WAS NOT PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LWS GUIDANT PUERTO RICO BV TACHY DEVICE

Patients

Seq Age Sex Outcome Treatment
1 Death