FDA Adverse Event Death Summary report: N

IMPLANTABLE CHF GENERATOR

MDR report key: 2603738 · Received June 7, 2012

Report

Report Number
2124215-2012-08093
Event Type
Death
Date Received
June 7, 2012
Date of Event
May 21, 2012
Report Date
May 21, 2012
Manufacturer
GUIDANT PUERTO RICO BV
Product Code
NIK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION FROM THE ARTICLE AUTHOR(S) WERE UNSUCCESSFUL. THE FINDINGS OF THE STUDY WERE SUMMARIZED IN THE ARTICLE: DE BIE MK, VAN REES JB, THIJSSEN J, BORLEFFS CJW, TRINES SA, CANNEGIETER SC, SCHALIJ MJ, VAN ERVEN L. CARDIAC DEVICE INFECTIONS ARE ASSOCIATED WITH A SIGNIFICANT MORTALITY RISK. HEART RHYTHM. 2012; 9 (4): 494-8.

Description of Event or Problem · 1

BOSTON SCIENTIFIC RECEIVED INFORMATION FROM A JOURNAL ARTICLE REVIEW. THE STUDY WAS COMPLETED TO ASSESS THE PROGNOSTIC IMPORTANCE OF CARDIAC DEVICE INFECTION (CDI) IN PATIENTS WHO HAVE RECEIVED (B)(4) AND (B)(4). THE PATIENTS IMPLANT DATES WERE ALL BETWEEN (B)(6) 2000 AND (B)(6) 2009. THE PROGNOSTIC IMPORTANCE OF THE FIRST CDI ON MORTALITY WAS ASSESSED BY MODELING CDI AS A TIME-DEPENDENT COVARIATE IN THE COX PROPORTIONAL HAZARDS MODEL WHICH DETERMINED THAT FOR PATIENTS PRESENTING WITH CDI, THE RISK OF DEATH WAS 1.9 TIMES HIGHER THAN THAT FOR PATIENTS WHO REMAINED FREE OF CDI. (B)(4). REPORTED ADVERSE PATIENT EFFECTS INCLUDED: DEATH, ENDOCARDITIS (WITH OR WITHOUT VEGETATION), INFECTION AT THE GENERAL POCKET SITE, PERSISTENT FEVER, POSITIVE BLOOD CULTURE, BACTEREMIA, MULTIPLE INFECTIONS, SWELLING, PAIN, WARMTH, SKIN DISCOLORATION, RELAPSE OF CDI (ONE DEATH OCCURRED AFTER TWO IMPLANT PROCEDURES HAD OCCURRED; THE ORIGINAL DEVICE WAS REMOVED AND REPLACED DUE TO CDI WHICH THEN RECURRED AND RESULTED IN SEPTIC SHOCK AND SUBSEQUENT DEATH).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IMPLANTABLE CHF GENERATOR NIK GUIDANT PUERTO RICO BV HEART FAILURE DEVICE

Patients

Seq Age Sex Outcome Treatment
1 Death| H| L| R