FDA Adverse Event
Injury
Summary report: N
FLEXTEND
MDR report key: 22564103
·
Received July 22, 2025
Report
- Report Number
- 2124215-2025-49053
- Event Type
- Injury
- Date Received
- July 22, 2025
- Date of Event
- July 11, 2025
- Report Date
- July 22, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- DTB
- UDI-DI
- 00802526397721
- PMA / PMN Number
- P960006
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THIS RIGHT ATRIAL (RA) LEAD EXHIBITED NOISE OVERSENSING, AS WELL AS LOW OUT OF RANGE PACING IMPEDANCE MEASUREMENTS BELOW 200 OMHS, CAUSED BY DAMAGE TO THE INSULATION. THE PHYSICIAN OPTED TO EXPLANT AND REPLACE THIS LEAD. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 817775 | FLEXTEND | IMPLANTABLE LEAD | DTB | BOSTON SCIENTIFIC CORPORATION | 4086 | 00802526397721 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Female | Required Intervention| H |