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