THE Q-TRAK SUBCUTANEOUS ELECTRODE
Report
- Report Number
- 2124215-2025-41799
- Event Type
- Malfunction
- Date Received
- June 24, 2025
- Date of Event
- April 1, 2010
- Report Date
- June 24, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- LWS
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
M. F. EL-CHAMI, B. HARBIEH, M. LEVY, A. R. LEON, AND F. M. MERCHANT, CLINICAL AND ELECTROCARDIOGRAPHIC PREDICTORS OF T WAVE OVERSENSING IN PATIENTS WITH SUBCUTANEOUS ICD, JOURNAL OF ARRHYTHMIA 32 (2016): 181-185.
IT WAS REPORTED PER ARTICLE OF INTEREST LITERATURE REVIEW THAT THE AUTHORS SOUGHT IDENTIFY CLINICAL AND ELECTROCARDIOGRAPHIC PREDICTORS OF T-WAVE OVERSENSING (TWOS) IN A COHORT OF PATIENTS UNDERGOING SUBCUTANEOUS IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (S-ICD). THEY RETROSPECTIVELY IDENTIFIED ALL PATIENTS WHO UNDERWENT S-ICD IMPLANTATION (CAMERON HEALTH MODEL NUMBER: 1010 SQ-RX, WITH A SUBCUTANEOUS LEAD-CAMERON HEALTH MODEL: 3010) AT THEIR INSTITUTION FROM APRIL 2010 TO JANUARY 2015. NINETY-TWO PATIENTS UNDERWENT S-ICD IMPLANTATION. DURING A MEAN FOLLOW-UP OF 13.1 MONTHS, SIX PATIENTS HAD TWOS RESULTING IN INAPPROPRIATE SHOCKS. IN THE GROUP WITHOUT TWOS, TWO PATIENTS EXPERIENCED INAPPROPRIATE SHOCKS FOR NON-TWOS ETIOLOGIES: ONE FOR SUPRAVENTRICULAR RHYTHM AND ONE FOR ELECTROMAGNETIC INTERFERENCE. CASE 3: A 25-YEAR-OLD MAN WITH LONG QT SYNDROME AND A HISTORY OF ABORTED CARDIAC ARREST UNDERWENT EXTRACTION OF A TRANSVENOUS ICD (T-ICD) BECAUSE OF INFECTION ATTRIBUTED TO INTRAVENOUS DRUG USE. HE SUBSEQUENTLY UNDERWENT IMPLANTATION OF AN S-ICD AND PRESENTED WITH AN INAPPROPRIATE SHOCK FOR TWOS ONE MONTH LATER. AN EXERCISE TREADMILL TEST (ETT) WAS PERFORMED, AND THE SENSING VECTOR WAS CHANGED FROM SECONDARY TO PRIMARY. HE HAS HAD NO FURTHER INAPPROPRIATE THERAPIES IN THE 10 MONTHS SINCE THEN. THE S-ICD SYSTEM REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1390141 | THE Q-TRAK SUBCUTANEOUS ELECTRODE | IMPLANTABLE LEAD | LWS | BOSTON SCIENTIFIC CORPORATION | 3010 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 25 YR | Male |