FDA Adverse Event Malfunction Summary report: N

TEO

MDR report key: 20662232 · Received November 12, 2024

Report

Report Number
1000165971-2024-01062
Event Type
Malfunction
Date Received
November 12, 2024
Date of Event
October 14, 2024
Report Date
December 18, 2024
Manufacturer
MICROPORT CRM S.R.L.
Product Code
LWP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE UNITED STATES; HOWEVER, IT IS SIMILAR TO A DEVICE MANUFACTURED BY MICROPORT CRM THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES. THE UDI IS MISSING, WE ARE LOOKING FOR IT AND IT WILL BE SHARED IN THE NEXT FOLLOW-UP MDR. THE ELECTRICAL CHARACTERISTICS OF THE RETURNED DEVICE CONFORMED TO ESTABLISHED SPECIFICATIONS. UPON RECEPTION OF THE DEVICE, PACING PULSES WERE GENERATED APPROPRIATELY BY THE DEVICE. THE VISUAL INSPECTION DID NOT REVEAL ANY ABNORMALITY. THE ANALYSIS CONFIRMS THAT THE CONNECTION SYSTEM OF THE SUBJECT PACEMAKER FUNCTIONED AS SPECIFIED USING A DUPLICATE TORQUE-LIMITING SCREWDRIVER. SEVERAL OBSERVATIONS WERE NOTICED DURING THE DEVICE¿S INVESTIGATION: THE SILICON SLITS OVER THE ATRIAL SETSCREW CAVITY AND OVER THE VENTRICULAR SETSCREW CAVITY WERE FOUND DAMAGED. CORRECT, AS WELL AS INCORRECT TIGHTENING MARKS WERE NOTED ON THE ATRIAL AND THE VENTRICULAR SETSCREW TIPS. A LIKELY HYPOTHESIS IS THAT THE PHYSICIAN HAD PARTIALLY ENGAGED THE SETSCREW AT SOME POINTS BEFORE INSERTING THE LEAD OR THAT HE HAD NOT INSERTED THE LEAD ALL THE WAY IN BEFORE TIGHTENING THE SETSCREW INDUCING AN INTERMITTENT. THIS HYPOTHESIS COULD EXPLAIN THE ISSUE REPORTED IN THE COMPLAINT (ABSENCE OF PACING AND OVERSENSING LIKE 50HZ). BASED ON THE AVAILABLE DATA, NO ISSUE IS SUSPECTED ON THE SUBJECT PACEMAKER. THE COMPLAINT IS RECORDED FOR TRENDING PURPOSES. DISPOSE D¿UN MENU CONTEXTUEL

Additional Manufacturer Narrative · 0

THE DEVICE INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE UNITED STATES; HOWEVER, IT IS SIMILAR TO A DEVICE MANUFACTURED BY MICROPORT CRM THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES. THE UDI IS MISSING, WE ARE LOOKING FOR IT AND IT WILL BE SHARED IN THE NEXT FOLLOW-UP MDR. THANKS FOR YOUR UNDERSTANDING.

Additional Manufacturer Narrative · 0

THE DEVICE INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE UNITED STATES; HOWEVER, IT IS SIMILAR TO A DEVICE MANUFACTURED BY MICROPORT CRM THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES. THE UDI HAS BEEN INCLUDED IN THIS MDR FOLLOW-UP. THE ELECTRICAL CHARACTERISTICS OF THE RETURNED DEVICE CONFORMED TO ESTABLISHED SPECIFICATIONS. UPON RECEPTION OF THE DEVICE, PACING PULSES WERE GENERATED APPROPRIATELY BY THE DEVICE. THE VISUAL INSPECTION DID NOT REVEAL ANY ABNORMALITY. THE ANALYSIS CONFIRMS THAT THE CONNECTION SYSTEM OF THE SUBJECT PACEMAKER FUNCTIONED AS SPECIFIED USING A DUPLICATE TORQUE-LIMITING SCREWDRIVER. SEVERAL OBSERVATIONS WERE NOTICED DURING THE DEVICE¿S INVESTIGATION: THE SILICON SLITS OVER THE ATRIAL SETSCREW CAVITY AND OVER THE VENTRICULAR SETSCREW CAVITY WERE FOUND DAMAGED. CORRECT, AS WELL AS INCORRECT TIGHTENING MARKS WERE NOTED ON THE ATRIAL AND THE VENTRICULAR SETSCREW TIPS. A LIKELY HYPOTHESIS IS THAT THE PHYSICIAN HAD PARTIALLY ENGAGED THE SETSCREW AT SOME POINTS BEFORE INSERTING THE LEAD OR THAT HE HAD NOT INSERTED THE LEAD ALL THE WAY IN BEFORE TIGHTENING THE SETSCREW INDUCING AN INTERMITTENT. THIS HYPOTHESIS COULD EXPLAIN THE ISSUE REPORTED IN THE COMPLAINT (ABSENCE OF PACING AND OVERSENSING LIKE 50HZ). BASED ON THE AVAILABLE DATA, NO ISSUE IS SUSPECTED ON THE SUBJECT PACEMAKER. THE COMPLAINT IS RECORDED FOR TRENDING PURPOSES. DISPOSE D¿UN MENU CONTEXTUEL.

Description of Event or Problem · 0

REPORTEDLY, DURING THE IMPLANTATION OF THE DEVICE IN A NON-PACEMAKER DEPENDENT PATIENT, THE INVOLVED PACEMAKER FAILED TO PACE AFTER CONNECTION OF THE LEADS. PSA MEASUREMENTS WERE NORMAL. THE DEVICE WAS CONNECTED SEVERALL TIMES AFTER CLEANING THE CONNECTORS BUT STILL NO PACING WAS SEEN. VERY HIGH VENTRICULAR RATE OF SENSED EVENTS WAS OBSERVED (KIND OF LIKE 50 HZ). A NEW PACEMAKER WAS CONNECTED AND NO PROBLEMS WERE OBSERVED ANYMORE.

Description of Event or Problem · 0

REPORTEDLY, DURING THE IMPLANTATION OF THE DEVICE IN A NON-PACEMAKER DEPENDENT PATIENT, THE INVOLVED PACEMAKER FAILED TO PACE AFTER CONNECTION OF THE LEADS. PSA MEASUREMENTS WERE NORMAL. THE DEVICE WAS CONNECTED SEVERALL TIMES AFTER CLEANING THE CONNECTORS BUT STILL NO PACING WAS SEEN. VERY HIGH VENTRICULAR RATE OF SENSED EVENTS WAS OBSERVED (KIND OF LIKE 50 HZ). A NEW PACEMAKER WAS CONNECTED AND NO PROBLEMS WERE OBSERVED ANYMORE.

Description of Event or Problem · 0

REPORTEDLY, DURING THE IMPLANTATION OF THE DEVICE IN A NON-PACEMAKER DEPENDENT PATIENT, THE INVOLVED PACEMAKER FAILED TO PACE AFTER CONNECTION OF THE LEADS. PSA MEASUREMENTS WERE NORMAL. THE DEVICE WAS CONNECTED SEVERALL TIMES AFTER CLEANING THE CONNECTORS BUT STILL NO PACING WAS SEEN. VERY HIGH VENTRICULAR RATE OF SENSED EVENTS WAS OBSERVED (KIND OF LIKE 50 HZ). A NEW PACEMAKER WAS CONNECTED AND NO PROBLEMS WERE OBSERVED ANYMORE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1644468 TEO IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT) LWP MICROPORT CRM S.R.L. TEO DR

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown