FDA Adverse Event Malfunction Summary report: N

ATTAIN ABILITY PLUS

MDR report key: 3152043 · Received June 7, 2013

Report

Report Number
2649622-2013-05546
Event Type
Malfunction
Date Received
June 7, 2013
Date of Event
March 1, 2013
Report Date
March 1, 2013
Manufacturer
MPRI
Product Code
OJX
PMA / PMN Number
P080006
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY THE FULL LEAD WAS RETURNED, ANALYZED AND NO ANOMALIES WERE FOUND. THERE WAS BLOOD ON THE PROXIMAL AND DISTAL CONDUCTORS OF THE LEAD AND IT WAS NOT OBSTRUCTED.

Additional Manufacturer Narrative · 1

CORRECTED INFORMATION: NO EVAL EXPLAIN CODE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE US WHERE THE SAME MODEL IS DISTRIBUTED. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE PLACEMENT OF THE IMPLANTABLE PACING LEAD THE IMPEDANCE WAS ALWAYS ABOVE 3000 OHMS. THE PHYSICIAN DECIDED TO USE ANOTHER LEAD, WHICH WAS PLACED WITHOUT INCIDENT, AND THE LEAD EXHIBITING THE HIGH IMPEDANCE WAS NOT USED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
252879 ATTAIN ABILITY PLUS DRUG ELUTING PERMANENT LEFT VENTRICULAR (LV) PACEMAKER ELECTRODE OJX MPRI 429688

Patients

Seq Age Sex Outcome Treatment
1