FDA Adverse Event Injury Summary report: N

ENRHYTHM MRI

MDR report key: 3051556 · Received April 10, 2013

Report

Report Number
9614453-2013-00949
Event Type
Injury
Date Received
April 10, 2013
Report Date
January 14, 2013
Manufacturer
IPG MFG SWITZERLAND
Product Code
NVZ
PMA / PMN Number
P980035
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: THE DEVICE WAS RETURNED AND ANALYZED. ANALYSIS REVEALED THE RETURNED DEVICE INDICATED HIGH IMPEDANCE IN THE BATTERY. PERFORMANCE DATA COLLECTED FROM THE DEVICE WAS RECEIVED AND ANALYZED. ANALYSIS FOUND THAT THE DEVICE BATTERY IMPEDANCE WAS OUT OF RANGE HIGH AND CAUSED ELECTIVE REPLACEMENT INDICATOR (ERI). THE ERI DUE TO HIGH BATTERY IMPEDANCE WAS LOGGED ON (B)(6) 2012, PRIOR TO EXPLANT, (B)(4) INSTALLED ON (B)(6) 2011.

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE US WHERE THE SAME/SIMILAR MODEL IS DISTRIBUTED. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. 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 SIMILAR TO A DEVICE MARKETED IN THE U.S. THE EVENT IS BEING REPORTED DUE TO AN ALLEGED MALFUNCTION. PRODUCT EVENT SUMMARY: THE DEVICE WAS RETURNED AND RETURNED PRODUCT ANALYSIS IS PENDING. HOWEVER, PERFORMANCE DATA COLLECTED FROM THE DEVICE WAS RECEIVED AND ANALYZED. ANALYSIS FOUND THAT THE DEVICE BATTERY IMPEDANCE WAS OUT OF RANGE HIGH AND CAUSED ELECTIVE REPLACEMENT INDICATOR (ERI). THE ERI DUE TO HIGH BATTERY IMPEDANCE WAS LOGGED ON 7/6/2012, PRIOR TO EXPLANT, RAMWARE VERSION 8 INSTALLED ON (B)(6) 2011. (B)(4).

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: THE DEVICE WAS RETURNED AND ANALYZED. ANALYSIS REVEALED THE RETURNED DEVICE INDICATED HIGH IMPEDANCE IN THE BATTERY. PERFORMANCE DATA COLLECTED FROM THE DEVICE WAS RECEIVED AND ANALYZED. ANALYSIS FOUND THAT THE DEVICE BATTERY IMPEDANCE WAS OUT OF RANGE HIGH AND CAUSED ELECTIVE REPLACEMENT INDICATOR (ERI). THE ERI DUE TO HIGH BATTERY IMPEDANCE WAS LOGGED ON (B)(6) 2012, PRIOR TO EXPLANT, (B)(4) INSTALLED ON (B)(6) 2011.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) REACHED ELECTIVE REPLACEMENT INDICATOR EARLY. THE DEVICE WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) REACHED ELECTIVE REPLACEMENT INDICATOR EARLY. THE DEVICE WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
149822 ENRHYTHM MRI PULSE GENERATOR, PERMANENT, IMPLANTABLE NVZ IPG MFG SWITZERLAND EMDR01

Patients

Seq Age Sex Outcome Treatment
1 00088 YR Hospitalization| R