FDA Adverse Event Injury Summary report: N

FINELINE II EZ STEROX

MDR report key: 22699831 · Received August 4, 2025

Report

Report Number
2124215-2025-53799
Event Type
Injury
Date Received
August 4, 2025
Date of Event
July 22, 2025
Report Date
December 10, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DTB
UDI-DI
00802526264993
PMA / PMN Number
P960004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS RIGHT ATRIAL (RA) LEAD WAS SUSPECTED TO BE FRACTURED, EXHIBITING HIGH OUT OF RANGE PACING IMPEDANCES ABOVE 3000 OMHS, NOISE OVERSENSING AND LOSS OF CAPTURE AT HIGH PACING THRESHOLDS. THE PHYSICIAN MENTIONED SCHEDULING A REPLACEMENT PROCEDURE FOR THIS LEAD. NO ADVERSE PATIENT EFFECTS WE REPORTED. THIS LEAD REMAINS IN SERVICE. ADDITIONAL INFORMATION WAS RECEIVED INDICATING THAT THIS LEAD WAS SURGICALLY ABANDONED AND REPLACED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS RIGHT ATRIAL (RA) LEAD WAS SUSPECTED TO BE FRACTURED, EXHIBITING HIGH OUT OF RANGE PACING IMPEDANCES ABOVE 3000 OMHS, NOISE OVERSENSING AND LOSS OF CAPTURE AT HIGH PACING THRESHOLDS. THE PHYSICIAN MENTIONED SCHEDULING A REPLACEMENT PROCEDURE FOR THIS LEAD. NO ADVERSE PATIENT EFFECTS WE REPORTED. THIS LEAD REMAINS IN SERVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1353974 FINELINE II EZ STEROX IMPLANTABLE LEAD DTB BOSTON SCIENTIFIC CORPORATION 4470 00802526264993

Patients

Seq Age Sex Outcome Treatment
1 66 YR Female Required Intervention| H