FDA Adverse Event Injury Summary report: N

ATTAIN STARFIX

MDR report key: 7583329 · Received June 8, 2018

Report

Report Number
2182208-2018-01084
Event Type
Injury
Date Received
June 8, 2018
Date of Event
January 1, 2017
Report Date
June 8, 2018
Manufacturer
MEDTRONIC, INC.
Product Code
OJX
PMA / PMN Number
P060039
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. 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: THE WEARABLE CARDIOVERTER DEFIBRILLATOR AS A BRIDGE TO REIMPLANTATION IN PATIENTS WITH ICD OR CRT-D-RELATED INFECTIONS. JOURNAL OF CARDIOTHORACIC SURGERY. 2017; 12(1):99. DOI: 10.1186/S13019-017-0669-2. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

A JOURNAL ARTICLE WAS REVIEWED WHICH CONTAINED INFORMATION REGARDING IMPLANTABLE PACING LEADS. THE ARTICLE REPORTS THE PATIENT DEVELOPED AN INFECTION REQUIRING REMOVAL OF THE SYSTEM. IT WAS NOTED THAT DURING THE LEAD EXTRACTION, A TEAR AT THE CORONARY SINUS OCCURRED. UNDER THE USE OF CARDIOPULMONARY BYPASS THE TEAR WAS SUCCESSFULLY PATCHED. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
425080 ATTAIN STARFIX DRUG ELUTING PERMANENT LEFT VENTRICULAR (LV) PACEMAKER ELECTRODE OJX MEDTRONIC, INC. 4195

Patients

Seq Age Sex Outcome Treatment
1 57 YR Hospitalization| L| R