FDA Adverse Event Injury Summary report: N

CURRENT ACCEL VR

MDR report key: 3210439 · Received July 8, 2013

Report

Report Number
2938836-2013-03348
Event Type
Injury
Date Received
July 8, 2013
Date of Event
May 7, 2013
Manufacturer
ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
Product Code
LWS
PMA / PMN Number
P910023
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED THE REPORTED FIELD EVENT OF BACKUP VVI RESET MODE WAS CONFIRMED IN THE LABORATORY. THE RESET WAS CAUSED BY A POWER-ON RESET WHICH OCCURRED DURING HIGH VOLTAGE THERAPY DELIVERY. X-RAY INSPECTION OF THE DEVICE FOUND A BROKEN CAN WIRE. IT IS BELIEVED THAT THE DEVICE WENT INTO RESET DURING HIGH VOLTAGE THERAPY DELIVERY DUE TO THE BROKEN WIRE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A FOLLOW UP, HIGH HV LEAD IMPEDANCE WAS OBSERVED. DURING DFT TESTING THE DEVICE FAILED TO CONVERT AND THE PATIENT WAS DEFIBRILLATED EXTERNALLY. THE DEVICE WAS FOUND IN BACKUP VVI MODE. THE DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
310694 CURRENT ACCEL VR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR LWS ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION CD1215-36 NA

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention (B)(4)