FDA Adverse Event Malfunction Summary report: N

ALTRUA 60

MDR report key: 24747185 · Received March 31, 2026

Report

Report Number
2124215-2026-17692
Event Type
Malfunction
Date Received
March 31, 2026
Date of Event
March 17, 2026
Report Date
April 6, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LWP
UDI-DI
00802526474453
PMA / PMN Number
N970003/S106
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS PRODUCT WAS MANUFACTURED PRIOR TO IMPLEMENTATION OF THE UDI REGULATION AND AS A RESULT, THE COMPLETE UDI IS NOT AVAILABLE. APPLICABLE US PRODUCT DATA HAS BEEN INCLUDED IN THIS REPORT.

Additional Manufacturer Narrative · 0

THIS PRODUCT WAS MANUFACTURED PRIOR TO IMPLEMENTATION OF THE UDI REGULATION AND AS A RESULT, THE COMPLETE UDI IS NOT AVAILABLE. APPLICABLE US PRODUCT DATA HAS BEEN INCLUDED IN THIS REPORT. AMENDMENT: THIS DEVICE WORKED AS INTENDED. THERE WAS NO MALFUNCTION PRESENT. THE DEVICE WAS AT END OF LIFE (EOL).

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PACEMAKER WAS UNABLE TO BE INTERROGATED. THE DEVICE DISPLAYED AN ERROR CODE INDICATED OF NON-COMPLETION OF INITIAL INTERROGATION. THE DEVICE HAS BEEN IN SERVICE FOR OVE 15 YEARS, END OF LIFE (EOL) IS SUSPECTED. THE DEVICE REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS PACEMAKER WAS UNABLE TO BE INTERROGATED. THE DEVICE DISPLAYED AN ERROR CODE INDICATED OF NON-COMPLETION OF INITIAL INTERROGATION. THE DEVICE HAS BEEN IN SERVICE FOR OVE 15 YEARS, END OF LIFE (EOL) IS SUSPECTED. THE DEVICE REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION OBTAINED, THE DEVICE WAS NOT ABLE TO BE INTERROGATED DUE TO BEING IN END OF LIFE (EOL). THE PATIENT RECEIVED A GENERATOR CHANGE WITH A COMPETITOR'S DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
809580 ALTRUA 60 PACEMAKER LWP BOSTON SCIENTIFIC CORPORATION S606 124540 00802526474453

Patients

Seq Age Sex Outcome Treatment
1 94 YR Male