FDA Adverse Event Injury Summary report: N

VISTA DDD PULSE GENERATOR

MDR report key: 69063 · Received January 9, 1997

Report

Report Number
2124215-1997-00223
Event Type
Injury
Date Received
January 9, 1997
Date of Event
August 21, 1996
Report Date
August 30, 1996
Manufacturer
CARDIAC PACEMAKERS
Product Code
DXY
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

EVENT DESCRIPTION CPI RECEIVED INFORMATION THAT THIS IMPLANTABLE PULSE GENERATOR (IPG) WAS EXHIBITING INTERMITTENT SENSING AND A MAGNET RATE THAT CHANGED FROM 98 TO 83 IN 24 HOURS AND DISPLAYED THE ELECTIVE REPLACEMENT TIME (ERT) INDICATOR. IMPLANT DATE-7/3/92 EXPLANT DATE-8/21/96 TOTAL IMPLANT TIME-49.6MONTHS CPI MINIMUM LONGEVITY AT NOMINAL SETTINGS WITH A 500 OHM LEAD IS 42 MONTHS. CPI DOES NOT KNOW THE IMPLANT PARAMETERS OR THE LEAD RESISTANCE THROUGHOUT THE IMPLANT LIFE OF THE SYSTEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VISTA DDD PULSE GENERATOR Implant IMPLANTABLE PULSE GENERATOR DXY CARDIAC PACEMAKERS 0941 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Required Intervention