FDA Adverse Event Malfunction Summary report: N

SELECTSECURE MRI SURESCAN

MDR report key: 23569187 · Received November 17, 2025

Report

Report Number
2182208-2025-09636
Event Type
Malfunction
Date Received
November 17, 2025
Date of Event
May 6, 2025
Report Date
November 17, 2025
Manufacturer
MEDTRONIC, INC.
Product Code
NVN
PMA / PMN Number
P030036
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE. MEDTRONIC WAS MADE AWARE OF THIS EVENT THROUGH A SEARCH OF LITERATURE PUBLICATIONS. THIS EVENT OCCURRED OUTSIDE THE US. PATIENT INFORMATION IS LIMITED DUE TO CONFIDENTIALITY CONCERNS. OF NOTE, MULTIPLE PATIENTS AND MULTIPLE MANUFACTURERS WERE NOTED IN THE ARTICLE; HOWEVER, A ONE-TO-ONE CORRELATION COULD NOT BE MADE WITH UNIQUE PRODUCT SERIAL/LOT NUMBERS. THE BASELINE GENDER/AGE CHARACTERISTICS IS MALE/75 YEARS OLD. WITHOUT A LOT NUMBER OR DEVICE SERIAL NUMBER, THE MANUFACTURING DATE CANNOT BE DETERMINED. SINCE NO DEVICE ID WAS PROVIDED, IT IS UNKNOWN IF THIS EVENT HAS BEEN PREVIOUSLY REPORTED. A REQUEST FOR ADDITIONAL INFORMATION WAS MADE. IF ADDITIONAL INFORMATION IS OBTAINED REGARDING THIS EVENT, IT WILL BE ADDED, AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY. REFERENCED ARTICLE: ESTABLISHING A LEFT BUNDLE BRANCH AREA PACING PROGRAM: RESULTS FROM A HIGH-VOLUME PACING CENTER. REVISTA PORTUGUESA DE CARDIOLOGIA. 2025. 44. 377-385. DOI: 10.1016/J.REPC.2024.12.006 MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

LITERATURE WAS REVIEWED REGARDING LEFT BUNDLE BRANCH AREA PACING. THE AUTHORS DESCRIBED PATIENTS WHO EXPERIENCED PERFORATION, TRANSIENT RIGHT BUNDLE BRANCH BLOCK, AND THIRD DEGREE ATRIOVENTRICULAR BLOCK OR ASYSTOLE. THERE WERE LEADS WHICH EXHIBITED MICRO AND MACRO DISLODGMENTS, LOSS OF CAPTURE, LOSS OF SENSING/DIMINISHED SENSING, AND INCREASES IN THRESHOLDS. LEADS WERE REPOSITIONED IN THE CASE OF PERFORATION. THE STATUS OF THE LEADS IS UNKNOWN. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273519 SELECTSECURE MRI SURESCAN DRUG ELUTING PERMANENT RIGHT VENTRICULAR (RV) NVN MEDTRONIC, INC. 383069

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male UNKNOWN COMPETITOR CIED AND LEAD