BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TENDRIL STS

    MDR report key: 3924052 · Received July 9, 2014

    Report

    Report Number
    2017865-2014-14975
    Event Type
    Injury
    Date Received
    July 9, 2014
    Date of Event
    May 13, 2013
    Manufacturer
    ST. JUDE MEDICAL, INC., CRMD
    Product Code
    NVN
    PMA / PMN Number
    NA
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT DURING A FOLLOW UP VISIT, THE ATRIAL LEAD EXHIBITED LOSS OF CAPTURE. AN X-RAY CONFIRMED LEAD DISLODGEMENT. THE PATIENTS DEVICE WAS REPROGRAMMED AND THE PATIENT WAS MONITORED. THE LEAD WAS REPOSITIONED SUCCESSFULLY ON (B)(6) 2013.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    399968 TENDRIL STS PERMANENT PACEMAKER ELECTRODE NVN ST. JUDE MEDICAL, INC., CRMD 2088TC/58 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Required Intervention