FDA Adverse Event Injury Summary report: N

MEDTRONIC SPRINT QUATTRO LEAD

MDR report key: 5863191 · Received August 9, 2016

Report

Report Number
2182208-2016-02124
Event Type
Injury
Date Received
August 9, 2016
Date of Event
March 22, 2016
Report Date
May 10, 2016
Manufacturer
MEDTRONIC, INC.
Product Code
DXY
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. MULTIPLE PATIENTS WERE NOTED IN THE ARTICLE; HOWEVER, A ONE TO ONE CORRELATION COULD NOT BE MADE WITH UNIQUE DEVICE SERIAL NUMBERS. PATIENT INFORMATION IS LIMITED DUE TO CONFIDENTIALITY CONCERNS. POSSIBLE MODEL COULD INCLUDE THE SPRINT QUATTRO MODEL 6947. SINCE NO DEVICE ID WAS PROVIDED, IT IS UNKNOWN IF THIS EVENT HAS BEEN PREVIOUSLY REPORTED. REQUEST FOR ADDITIONAL INFORMATION WILL BE MADE AND UPON RECEIPT A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY. REFERENCED ARTICLE: IMPLANTABLE CARDIAC DEFIBRILLATOR LEAD FAILURE AND MANAGEMENT. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY. 2016;67(11):1358-1368.

Description of Event or Problem · 1

A JOURNAL ARTICLE WAS REVIEWED WHICH CONTAINED INFORMATION REGARDING IMPLANTABLE TACHY LEADS. MULTIPLE PATIENTS AND MULTIPLE MANUFACTURERS WERE NOTED IN THE ARTICLE; HOWEVER, A ONE TO ONE CORRELATION COULD NOT BE MADE WITH UNIQUE DEVICE SERIAL NUMBERS. THE ARTICLE REPORTS THAT THERE WERE LEAD FAILURES, WHICH INCLUDED FRACTURES, OVERSENSING, HIGH SENSING INTEGRITY COUNTER (SIC), AND INSULATION BREACHES. THE STATUS OF THE LEADS IS UNKNOWN. FURTHER FOLLOW UP DID NOT YET YIELD ANY ADDITIONAL INFORMATION. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
515148 MEDTRONIC SPRINT QUATTRO LEAD PULSE-GENERATOR, PACEMAKER, IMPLANTABLE DXY MEDTRONIC, INC. MDT-LEAD

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention