FDA Adverse Event
Injury
Summary report: N
TRILOGY DR+
MDR report key: 246932
·
Received March 10, 1999
Report
- Report Number
- 2017865-1999-00401
- Event Type
- Injury
- Date Received
- March 10, 1999
- Date of Event
- February 5, 1999
- Manufacturer
- ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
- Product Code
- DXY
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
INFORMATION RECEIVED NOTES THAT WHEN THE PATIENT WAS SEEN FOR A ROUTINE FOLLOW-UP, THE PACEMAKER MODE WAS VOO AT A RATE OF 51.9 PPM DURING MAGNET APPLICATION. DEMAND MODE SHOWED THAT THE PATIENT'S INTRINSIC RATE WAS IN THE 80'S. INTERROGATION REVEALED DASHES (---) FOR SENSOR, RATE, HYS- TERESIS AND SLEEP PARAMETERS. HIGH CURRENT DRAIN WAS ALSO NOTED. THE MESSAGE "REPROGRAM" WAS DISPLAYED AND VALUES WERE PROGRAMMABLE, BUT THE DASHES RETURNED UPON INTERROGATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TRILOGY DR+ Implant | IMPLANTABLE PACEMAKER PULSE GENERATOR | DXY | ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION | 2360L | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 82 YR | Required Intervention |