FDA Adverse Event
Malfunction
Summary report: N
TENDRIL SDX
MDR report key: 4193536
·
Received January 13, 2014
Report
- Report Number
- 2017865-2014-05529
- Event Type
- Malfunction
- Date Received
- January 13, 2014
- Date of Event
- June 6, 2011
- Manufacturer
- ST. JUDE MEDICAL, INC CRMD
- Product Code
- DTB
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED. THIS HISTORICAL COMPLAINT IS BEING FILED AS PART OF A RETROSPECTIVE REVIEW OF COMPLAINT FILES IN RESPONSE TO A RECENT FDA INSPECTION. THERE IS NO CHANGE TO THE ACTUAL PERFORMANCE OF THE PRODUCT AND THIS REPORT ONLY REPRESENTS AN ENHANCEMENT TO THE REPORTING CRITERIA GOING FORWARD. THE REPORTED FIELD EVENT OF UNACCEPTABLE THRESHOLD WAS NOT CONFIRMED. ANALYSIS WAS NORMAL. NO ANOMALY WAS FOUND.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING IMPLANT THE LEAD EXHIBITED UNACCEPTABLE THRESHOLDS AND SENSING ANOMALY. THE LEAD WAS REMOVED AND REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 34689 | TENDRIL SDX | PERMANENT PACEMAKER ELECTRODE, DTB | DTB | ST. JUDE MEDICAL, INC CRMD | 1688TC/52 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 85 YR |