FDA Adverse Event Injury Summary report: N

FINELINE II

MDR report key: 2042454 · Received April 6, 2011

Report

Report Number
2124215-2011-01357
Event Type
Injury
Date Received
April 6, 2011
Date of Event
January 18, 2011
Report Date
January 18, 2011
Manufacturer
CPI - DEL CARIBE
Product Code
NVN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE LEAD REMAINS IMPLANTED AND IN SERVICE WITHOUT FURTHER REPORTED COMPLICATIONS. IF NEW INFORMATION IS RECEIVED, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

BOSTON SCIENTIFIC RECEIVED INFORMATION THAT POST A SUCCESSFUL SINGLE CHAMBER IMPLANT, SIGNIFICANT PAUSES IN RIGHT VENTRICULAR PACING WERE EXHIBITED DURING THE POST IMPLANT EVALUATION. PACING PAUSES RESULTED IN PRESYNCOPAL SYMPTOMS AND APPEARED TO BE RELATED TO PATIENT POSITIONING. AN INTERROGATION REVEALED A SLIGHT INCREASE IN THRESHOLD VALUES; HOWEVER, STABLE IMPEDANCE MEASUREMENTS WERE NOTED. WHILE NO SURGICAL INTERVENTION WAS PERFORMED, IT WAS SUSPECTED THE LEAD HAD LOST IT'S INITIAL POSITIONING. THE FOLLOWING MORNING, THE DEVICE WAS AGAIN INTERROGATED, WITH ALL PACING PARAMETERS CONFIRMED CONSISTENT AND NO FURTHER PAUSES IN PACING OBSERVED. ADDITIONALLY, IT WAS REPORTED THAT THE PATIENTS UNDERLYING RHYTHM HAD RESUMED AND NO FURTHER INTERVENTION NEEDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FINELINE II IMPLANTABLE LEAD NVN CPI - DEL CARIBE 4457

Patients

Seq Age Sex Outcome Treatment
1