FDA Adverse Event Malfunction Summary report: N

PLATINIUM

MDR report key: 21191057 · Received January 20, 2025

Report

Report Number
1000165971-2025-00052
Event Type
Malfunction
Date Received
January 20, 2025
Date of Event
December 1, 2024
Report Date
July 11, 2025
Manufacturer
MICROPORT CRM S.R.L.
Product Code
LWS
UDI-DI
08031527015361
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

PLEASE FIND ATTACHED THE REPORT PRELIMINARY ANALYSIS OF THE AVAILABLE PATIENT FILES REVEALED: O AN ABNORMAL BATTERY DEPLETION O NO OVERCONSUMPTION. THE EXPERTISE OF THE RETURNED ICD DIDN¿T REVEAL OVER-CONSUMPTION. THE BATTERY ANALYSIS REVEALED 2 CLUSTERS WERE FOUND INSIDE THE BATTERY. ONE OF THESE CLUSTERS WAS IN CLOSE PROXIMITY TO THE CATHODE BRIDGE, AND LEAD TO THE FAST BATTERY DEPLETION. THE BATTERY FAILURE IS THE ROOT CAUSE OF THE FAST BATTERY DEPLETION.

Additional Manufacturer Narrative · 0

PLEASE FIND ATTACHED THE INTERMEDIATE REPORT PRELIMINARY ANALYSIS OF THE AVAILABLE PATIENT FILES REVEALED: O AN ABNORMAL BATTERY DEPLETION O NO OVERCONSUMPTION - THE EXPERTISE OF THE RETURNED ICD DIDN¿T REVEAL OVER-CONSUMPTION. - THE ROOT CAUSE COULD NOT BE DETERMINED WITH CERTAINTY. THE MOST LIKELY HYPOTHESIS WOULD BE A BATTERY FAILURE. FURTHER INVESTIGATIONS ARE ONGOING AT THE BATTERY MANUFACTURER LEVEL.

Additional Manufacturer Narrative · 0

PLEASE REFER TO THE ATTACHED REPORT PRELIMINARY ANALYSIS OF THE AVAILABLE PATIENT FILES REVEALED: O AN ABNORMAL BATTERY DEPLETION O NO OVERCONSUMPTION BASED ON AVAILABLE INFORMATION, A BATTERY ISSUE IS SUSPECTED. IN THIS CASE, THE BATTERY VOLTAGE COULD DECREASE AGAIN VERY RAPIDLY, THEREFORE THE RRT COULD BE REACHED VERY RAPIDLY. A DEVICE EXPLANTATION SHOULD BE CONSIDERED AS SOON AS POSSIBLE.

Description of Event or Problem · 0

REPORTEDLY, THE BATTERY LONGEVITY WAS 7 YEARS AND THE BATTERY VOLTAGE WAS 2.97V AT THE LAST FOLLOW UP 6 MONTHS AGO, BUT THEY WERE SUDDENLY DECREASED 1 YEAR AND 2.74V AT THE LATEST FOLLOW UP ON 24-DEC-2024. NEXT FOLLOW UP IS PLANNED IN 3 MONTH.

Description of Event or Problem · 0

REPORTEDLY, THE BATTERY LONGEVITY WAS 7 YEARS AND THE BATTERY VOLTAGE WAS 2.97V AT THE LAST FOLLOW UP 6 MONTHS AGO, BUT THEY WERE SUDDENLY DECREASED 1 YEAR AND 2.74V AT THE LATEST FOLLOW UP ON 24-DEC-2024. NEXT FOLLOW UP IS PLANNED IN 3 MONTH.

Description of Event or Problem · 0

REPORTEDLY, THE BATTERY LONGEVITY WAS 7 YEARS AND THE BATTERY VOLTAGE WAS 2.97V AT THE LAST FOLLOW UP 6 MONTHS AGO, BUT THEY WERE SUDDENLY DECREASED 1 YEAR AND 2.74V AT THE LATEST FOLLOW UP ON (B)(6) 2024. NEXT FOLLOW UP IS PLANNED IN 3 MONTH.

Description of Event or Problem · 0

REPORTEDLY, THE BATTERY LONGEVITY WAS 7 YEARS AND THE BATTERY VOLTAGE WAS 2.97V AT THE LAST FOLLOW UP 6 MONTHS AGO, BUT THEY WERE SUDDENLY DECREASED 1 YEAR AND 2.74V AT THE LATEST FOLLOW UP ON 24-DEC-2024. NEXT FOLLOW UP IS PLANNED IN 3 MONTH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
440560 PLATINIUM IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (NON-CRT) LWS MICROPORT CRM S.R.L. PLATINIUM VR 1210 08031527015361

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention