FDA Adverse Event
Malfunction
Summary report: N
ALTRUA
MDR report key: 3241477
·
Received July 22, 2013
Report
- Report Number
- 2124215-2013-11513
- Event Type
- Malfunction
- Date Received
- July 22, 2013
- Date of Event
- June 28, 2013
- Report Date
- June 28, 2013
- Manufacturer
- GUIDANT PUERTO RICO BV
- Product Code
- NVZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFORMATION IS REQUESTED. THIS INVESTIGATION WILL BE UPDATED SHOULD FURTHER INFORMATION BE PROVIDED.
Description of Event or Problem · 1
BOSTON SCIENTIFIC RECEIVED INFORMATION THAT THIS PACEMAKER'S MAGNET RATE WAS AT 90 BEATS PER MINUTE. THE DEVICE WAS IMPLANTED THREE YEARS AGO. ALL OTHER BATTERY INDICATORS WERE NORMAL. A BOSTON SCIENTIFIC COMPANY REPRESENTATIVE DISCUSSED ABOUT RECOMMENDATIONS REGARDING A PREMATURE BATTERY DEPLETION. NO ADVERSE PATIENT EFFECTS WERE REPORTED. THE DEVICE REMAINS IN SERVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 339986 | ALTRUA | IMPLANTABLE PULSE GENERATOR | NVZ | GUIDANT PUERTO RICO BV | S602 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |