BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ENRHYTHM MRI

    MDR report key: 2811494 · Received October 31, 2012

    Report

    Report Number
    6000094-2012-02431
    Event Type
    Injury
    Date Received
    October 31, 2012
    Manufacturer
    MEDTRONIC S.A.
    Product Code
    LWP
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS EVENT OCCURRED OUTSIDE THE US. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS. THIS MODEL NUMBER IS NOT APPROVED FOR DISTRIBUTION IN THE UNITED STATES, HOWEVER, IT IS SAME/SIMILAR TO A DEVICE MARKETED IN THE U.S. EVALUATION SUMMARY: (B)(4) PERFORMANCE DATA HAS BEEN COLLECTED FROM THE DEVICE AND ANALYSIS WAS DONE. BATTERY DEPLETION INDICATED/ERI: ERI WAS CAUSED BY HIGH BATTERY IMPEDANCE NOTED ON (B)(6) 2012 PRIOR TO EXPLANT. (B)(4) VERSION 8 INSTALLED ON (B)(6) 2011. HIGH RESISTANCE/IMPEDANCE: HIGH BATTERY IMPEDANCE RESULTED IN ERI. THE DEVICE WAS RETURNED AND ANALYZED. ANALYSIS OF THE DEVICE MEMORY FOUND THE ERI (ELECTIVE REPLACEMENT INDICATOR) IS THE RESULT OF HIGH INTERNAL BATTERY RESISTANCE.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE DEVICE HAD REACHED ELECTIVE REPLACEMENT INDICATORS (ERI) AFTER THREE YEARS. THE DEVICE EXHIBITED HIGH BATTERY IMPEDANCE. THE DEVICE WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ENRHYTHM MRI IMPLANTABLE PULSE GENERATOR LWP MEDTRONIC S.A. EMDR01

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R