FDA Adverse Event Injury Summary report: N

INGEVITY+

MDR report key: 20476896 · Received October 17, 2024

Report

Report Number
2124215-2024-65149
Event Type
Injury
Date Received
October 17, 2024
Date of Event
September 25, 2024
Report Date
February 20, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NVN
UDI-DI
00802526604577
PMA / PMN Number
P150012
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPON RECEIPT AT OUR POST MARKET QUALITY ASSURANCE LABORATORY, A THOROUGH EVALUATION OF THE LEAD WAS PERFORMED. TESTING WAS COMPLETED TO ASSESS LEAD ELECTRICAL PERFORMANCE AND INNER INSULATION INTEGRITY. MEASUREMENTS THROUGHOUT THESE TESTS WERE WITHIN NORMAL LIMITS. MICROSCOPIC INSPECTIONS OF THE TERMINAL PIN ASSEMBLY, LEAD BODY, AND ELECTRODE TIP FOUND NO ANOMALIES. LABORATORY TESTING WAS UNABLE TO REPRODUCE THE REPORTED CLINICAL OBSERVATIONS AND DETAILED ANALYSIS DID NOT REVEAL ANY ABNORMALITIES. LABORATORY ANALYSIS DID NOT IDENTIFY ANY LEAD CHARACTERISTICS THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED CLINICAL OBSERVATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS RIGHT VENTRICULAR (RV) LEAD EXHIBITED HIGH OUT OF RANGE PACE IMPEDANCE MEASUREMENTS RESULTING IN A LEAD SAFETY SWITCH. BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) DISCUSSED THAT IMPEDANCE HAS BEEN IN THE 600-700 OHMS RANGE SINCE IMPLANT UNTIL THE GREATER THAN 3000 OHMS MEASUREMENT WAS GENERATED. REPROGRAMMING OPTIONS AND FURTHER EVALUATION WERE DISCUSSED BY TS. FURTHER INFORMATION WAS RECEIVED THAT THIS LEAD WAS EXPLANTED AND REPLACED DUE TO HIGH CAPTURE THRESHOLDS. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. IT IS EXPECTED TO RECEIVE THIS PRODUCT FOR ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS RIGHT VENTRICULAR (RV) LEAD EXHIBITED HIGH OUT OF RANGE PACE IMPEDANCE MEASUREMENTS RESULTING IN A LEAD SAFETY SWITCH. BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) DISCUSSED THAT IMPEDANCE HAS BEEN IN THE 600-700 OHMS RANGE SINCE IMPLANT UNTIL THE GREATER THAN 3000 OHMS MEASUREMENT WAS GENERATED. REPROGRAMMING OPTIONS AND FURTHER EVALUATION WERE DISCUSSED BY TS. NO ADVERSE PATIENT EFFECTS WERE REPORTED. THIS LEAD REMAINS IN SERVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS RIGHT VENTRICULAR (RV) LEAD EXHIBITED HIGH OUT OF RANGE PACE IMPEDANCE MEASUREMENTS RESULTING IN A LEAD SAFETY SWITCH. BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) DISCUSSED THAT IMPEDANCE HAS BEEN IN THE 600-700 OHMS RANGE SINCE IMPLANT UNTIL THE GREATER THAN 3000 OHMS MEASUREMENT WAS GENERATED. REPROGRAMMING OPTIONS AND FURTHER EVALUATION WERE DISCUSSED BY TS. FURTHER INFORMATION WAS RECEIVED THAT THIS LEAD WAS EXPLANTED AND REPLACED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS RIGHT VENTRICULAR (RV) LEAD EXHIBITED HIGH OUT OF RANGE PACE IMPEDANCE MEASUREMENTS RESULTING IN A LEAD SAFETY SWITCH. BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) DISCUSSED THAT IMPEDANCE HAS BEEN IN THE 600-700 OHMS RANGE SINCE IMPLANT UNTIL THE GREATER THAN 3000 OHMS MEASUREMENT WAS GENERATED. REPROGRAMMING OPTIONS AND FURTHER EVALUATION WERE DISCUSSED BY TS. FURTHER INFORMATION WAS RECEIVED THAT THIS LEAD WAS EXPLANTED AND REPLACED DUE TO HIGH CAPTURE THRESHOLDS. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. THIS PRODUCT HAS BEEN RECEIVED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1148954 INGEVITY+ IMPLANTABLE LEAD NVN BOSTON SCIENTIFIC CORPORATION 7841 1479125 00802526604577

Patients

Seq Age Sex Outcome Treatment
1 72 YR Female Required Intervention| H