FDA Adverse Event
Malfunction
Summary report: N
PROPONENT MRI DR
MDR report key: 20762163
·
Received November 22, 2024
Report
- Report Number
- 2124215-2024-73967
- Event Type
- Malfunction
- Date Received
- November 22, 2024
- Date of Event
- November 8, 2024
- Report Date
- November 22, 2024
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- LWP
- PMA / PMN Number
- P150012/S000
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THERE WERE CONCERNS THAT THIS PACEMAKER EXHIBITED PREMATURE BATTERY DEPLETION (PBD). TECHNICAL SERVICES (TS) WAS INITIALLY NOT ABLE TO PROVIDE AN ANALYSIS AS THE LATITUDE STATUS STATED THAT THE COMMUNICATOR WAS NOT CONNECTING AND ADVISED THE REPRESENTATIVE TO TROUBLESHOOT AND NOTIFY THEM WHEN A PATIENT INITIATED INTERROGATION (PII) WAS SENT. SUBSEQUENTLY, A PII WAS SUCCESSFULLY SENT. TS PERFORMED A DATA ANALYSIS AND STATED THAT THE DEVICE WAS PREMATURELY DEPLETING. TS ADVISED DEVICE REPLACEMENT. THE DEVICE REMAINS IN USE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2605320 | PROPONENT MRI DR | IMPLANTABLE PACEMAKER | LWP | BOSTON SCIENTIFIC CORPORATION | L211 | 328429 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 80 YR | Male |