FDA Adverse Event Injury Summary report: N

PROMOTE PLUS CRT-D, DF-4 CONNECTOR

MDR report key: 2243077 · Received September 11, 2011

Report

Report Number
2017865-2011-06573
Event Type
Injury
Date Received
September 11, 2011
Date of Event
July 26, 2011
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
NIK
PMA / PMN Number
P030054
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED.

Additional Manufacturer Narrative · 1

THE REPORTED SETSCREW ANOMALY WAS CONFIRMED IN THE LABORATORY. UPON RECEIPT DAMAGE TO THE ATRIAL SEPTUM WAS OBSERVED. TEST LEADS WERE INSERTED INTO THE DEVICE HEADER AND THE ATRIAL SETSCREW WOULD NOT TIGHTEN TO FULL TORQUE. SEPTUM MATERIAL WAS FOUND INSIDE OF THE HEX CAVITY AND ONCE REMOVED THE ATRIAL SETSCREW FUNCTIONED NORMALLY. THE SETSCREW ANOMALY CONTRIBUTED TO A POOR SETSCREW/LEAD CONNECTION, CAUSING HIGH PACING LEAD IMPEDANCE AND LOSS OF SENSING AND CAPTURE.

Description of Event or Problem · 1

IT WAS REPORTED THAT INCREASED IMPEDANCE WITH A LOSS OF SENSING AND CAPTURE WERE OBSERVED. SETSCREW ISSUE WAS FOUND. THE DEVICE WAS EXPLANTED AND REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROMOTE PLUS CRT-D, DF-4 CONNECTOR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR NIK ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION CD3211-36Q NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention