FDA Adverse Event Injury Summary report: N

TENDRIL STS

MDR report key: 23241473 · Received October 8, 2025

Report

Report Number
2017865-2025-1002191
Event Type
Injury
Date Received
October 8, 2025
Date of Event
September 24, 2025
Report Date
November 19, 2025
Manufacturer
ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
Product Code
NVN
PMA / PMN Number
P960013
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT OF FAILURE TO CAPTURE WAS CONFIRMED. AS RECEIVED, A COMPLETE LEAD WAS RETURNED IN TWO PIECES. VISUAL EXAMINATION NOTED AN EXTERNAL INSULATION ABRASION BREACHING THE OUTER INSULATION AND EXPOSING THE OUTER COIL AT THE PROXIMAL REGION. THE CAUSE OF THE REPORTED EVENT WAS DUE TO THE EXPOSURE OF THE OUTER COIL IN THE ABRASION REGION CONSISTENT WITH FRICTION TO DEVICE CAN.

Description of Event or Problem · 0

RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2025-1002189. RELATED MANUFACTURER REFERENCE NUMBER: 2017865-2025-1002190. IT WAS REPORTED THAT A BRADYCARDIC PATIENT PRESENTED TO THE EMERGENCY ROOM WITH BOTH THEIR RIGHT ATRIAL AND RIGHT VENTRICULAR LEADS FAILING TO CAPTURE. IT WAS ALSO REPORTED THAT THE IMPLANTABLE PACEMAKER WAS SUBJECT TO THE ASSURITY AND ENDURITY PACEMAKERS HEADER ANOMALY ADVISORY ISSUED BY ABBOTT ON 15 MARCH 2021. THE PACEMAKER AND BOTH LEADS WERE EXPLANTED AND REPLACED. PATIENT WAS STABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2513020 TENDRIL STS NO MATCH NVN ST. JUDE MEDICAL, INC.(CRM-SYLMAR) 2088TC/58 S000070811

Patients

Seq Age Sex Outcome Treatment
1 74 YR Female Required Intervention