AVEIR¿ DELIVERY CATHETER
Report
- Report Number
- 2017865-2025-1001715
- Event Type
- Injury
- Date Received
- October 1, 2025
- Date of Event
- September 9, 2025
- Report Date
- October 2, 2025
- Manufacturer
- ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
- Product Code
- PNJ
- PMA / PMN Number
- P150035
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
A DEVICE HISTORY RECORD (DHR) REVIEW WAS PERFORMED AND ALL REQUIRED MANUFACTURING PROCESSES AND INSPECTIONS STEPS WERE CONFIRMED TO BE COMPLETED PER THE REQUIREMENTS. THE DEVICE MET SPECIFICATIONS PRIOR TO LEAVING ABBOTT MANUFACTURING FACILITIES.
RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2025-1001381. RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2025-1001389. RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2025-1001390. IT WAS REPORTED THAT PATIENT EXPERIENCED LOW BLOOD PRESSURE THE DAY AFTER ON (B)(6) 2025) A LEADLESS PACEMAKER (LP) SYSTEM IMPLANT PROCEDURE ON (B)(6) 2025). AN ULTRASOUND REVEALED PATIENT HAD SUSTAINED A PERICARDIAL EFFUSION IN THE RIGHT ATRIAL APPENDAGE. IT WAS SUSPECTED TO HAVE OCCURRED DURING THE RIGHT VENTRICULAR (RV) PORTION OF THE PROCEDURE. THE EFFUSION WAS DRAINED SUCCESSFULLY WITH A PERICARDIAL TAP. TAP WAS REMOVED THE FOLLOWING DAY ON (B)(6) 2025) AND PATIENT WAS STABLE.
NEW INFORMATION RECEIVED NOTED PHYSICIAN WAS UNABLE TO FIND A SUITABLE POSITION FOR THE IMPLANT OF THE RIGHT ATRIAL LEADLESS PACEMAKER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2015644 | AVEIR¿ DELIVERY CATHETER | LEADLESS PACEMAKER | PNJ | ST. JUDE MEDICAL, INC.(CRM-SYLMAR) | LSCD201 | 10811475 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Female | Required Intervention |