FDA Adverse Event Injury Summary report: N

ATTAIN ABILITY

MDR report key: 6628779 · Received June 8, 2017

Report

Report Number
2649622-2017-07478
Event Type
Injury
Date Received
June 8, 2017
Date of Event
December 17, 2010
Report Date
April 26, 2017
Manufacturer
MPRI
Product Code
OJX
UDI-DI
00613994469731
PMA / PMN Number
P080006
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CONCOMITANT PRODUCT: IMPLANTABLE PULSE GENERATOR (IPG). THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE AND SUBSEQUENT FOLLOW UP INFORMATION OBTAINED. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. REFERENCED ARTICLE: ¿REAL-WORLD ASSESSMENT OF ACUTE LEFT VENTRICULAR LEAD IMPLANT SUCCESS AND COMPLICATION RATES: RESULTS FROM THE ATTAIN SUCCESS CLINICAL TRIAL.¿ PACE 2016; 39:1246¿1253. DOI: 10.1111/PACE.12939.

Description of Event or Problem · 1

A JOURNAL ARTICLE WAS REVIEWED WHICH CONTAINED INFORMATION REGARDING THIS PATIENT¿S IMPLANTED PACING LEAD. FOLLOW UP WAS CONDUCTED AND IT WAS REPORTED THAT DURING THE SECOND ATTEMPT OF PLACING THE LEFT VENTRICULAR (LV) LEAD, THE CATHETER WAS ¿STUCK¿ TO THE LEAD, AND THE LEAD WAS ¿PULLED OUT OF THE VESSEL AFTER SLITTING THE CATHETER.¿ ANOTHER ATTEMPT WAS TAKEN TO REPLACE THE LEAD AND IT APPEARS TO BE STILL IN USE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
409240 ATTAIN ABILITY DRUG ELUTING PERMANENT LEFT VENTRICULAR (LV) PACEMAKER ELECTRODE OJX MPRI 419688 00613994469731

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R