FDA Adverse Event Injury Summary report: N

ATTAIN

MDR report key: 3153016 · Received June 8, 2013

Report

Report Number
2182208-2013-01380
Event Type
Injury
Date Received
June 8, 2013
Report Date
March 1, 2013
Manufacturer
RICE CREEK MFG
Product Code
OJX
PMA / PMN Number
P080006
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT ID: 6945 PRODUCT ID (B)(4), PRODUCT ID: 5076 PRODUCT EVENT SUMMARY: ANALYSIS FOUND NO ANOMALIES. THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE. 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 LIMITED DUE TO CONFIDENTIALITY CONCERNS. REFERENCED ARTICLE: OCCURRENCE OF PHRENIC NERVE STIMULATION IN CARDIAC RESYNCHRONIZATION THERAPY PATIENTS: THE ROLE OF LEFT VENTRICULAR LEAD TYPE AND PLACEMENT SITE. EUROPACE: EUROPEAN PACING, ARRHYTHMIAS, AND CARDIAC ELECTROPHYSIOLOGY: JOURNAL OF THE WORKING GROUPS ON CARDIAC PACING, ARRHYTHMIAS, AND CARDIAC CELLULAR ELECTROPHYSIOLOGY OF THE EUROPEAN SOCIETY OF CARDIOLOGY. 2013;15(1):77-82. (B)(4).

Description of Event or Problem · 1

A JOURNAL ARTICLE WAS REVIEWED WHICH CONTAINED INFORMATION REGARDING THIS LEAD. THE PATIENT EXPERIENCED DIAPHRAGMATIC MUSCLE STIMULATION 13 DAYS POST IMPLANT. THE POLARITY OF THE LEFT VENTRICULAR (LV) WAS CHANGED TO RESOLVE THE ISSUE AND THE LEAD REMAINED IN USE AT THAT TIME. THE LEAD WAS EXPLANTED AND RETURNED WITH NO INFORMATION. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
255004 ATTAIN DRUG ELUTING PERMANENT LEFT VENTRICULAR (LV) PACEMAKER ELECTRODE OJX RICE CREEK MFG 4196

Patients

Seq Age Sex Outcome Treatment
1 00064 YR Hospitalization| R