FDA Adverse Event Injury Summary report: N

ENRHYTHM

MDR report key: 3153310 · Received June 8, 2013

Report

Report Number
3004209178-2013-08906
Event Type
Injury
Date Received
June 8, 2013
Report Date
June 19, 2013
Manufacturer
MEDTRONIC PUERTO RICO OPERATIONS CO., JUNCOS
Product Code
NVZ
PMA / PMN Number
P980035
Removal / Correction Number
Z-1440-2010
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY : THE DEVICE WAS RETURNED AND ANALYZED. ANALYSIS OF THE DEVICE REVEALED NORMAL BATTERY DEPLETION.

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE U.S. 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).

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE TRIGGERED THE ELECTIVE REPLACEMENT INDICATOR (ERI) AND PREMATURE BATTERY DEPLETION WAS SUSPECTED. IT WAS ALSO NOTED THAT THERE WAS A TELEMETRY PROBLEM AND THE PATIENT WAS UNABLE TO TRANSMIT VIA REMOTE MONITORING TRANSMISSION. THE DEVICE WAS EXPLANTED AND REPLACED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE TRIGGERED THE ELECTIVE REPLACEMENT INDICATOR (ERI) AND PREMATURE BATTERY DEPLETION WAS SUSPECTED. IT WAS ALSO NOTED THAT THERE WAS A TELEMETRY PROBLEM AND THE PATIENT WAS UNABLE TO TRANSMIT VIA REMOTE MONITORING TRANSMISSION. 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
254989 ENRHYTHM PULSE GENERATOR, PERMANENT, IMPLANTABLE NVZ MEDTRONIC PUERTO RICO OPERATIONS CO., JUNCOS P1501DR

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R