FDA Adverse Event Injury Summary report: N

INGEVITY? MRI

MDR report key: 7713399 · Received July 24, 2018

Report

Report Number
2124215-2018-12724
Event Type
Injury
Date Received
July 24, 2018
Date of Event
February 14, 2018
Report Date
April 28, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NVN
UDI-DI
00802526523458
PMA / PMN Number
P150012
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 4 (ADDITIONAL INFORMATION): THIS REPORT IS BEING SUBMITTED TO UPDATE SECTION H6 CODES. FOLLOW UP REPORT 3 (ADDITIONAL INFORMATION): THIS REPORT IS BEING SUBMITTED TO UPDATE SECTION B5, E1, AND H6 CODES. AT THIS TIME, NO FURTHER INFORMATION IS AVAILABLE. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE THIS REPORT WILL BE UPDATED. THIS INVESTIGATION WILL BE UPDATED SHOULD FURTHER INFORMATION BE PROVIDED.

Additional Manufacturer Narrative · 0

FOLLOW UP REPORT 3 (ADDITIONAL INFORMATION): THIS REPORT IS BEING SUBMITTED TO UPDATE SECTION B5, E1, AND H6 CODES. AT THIS TIME, NO FURTHER INFORMATION IS AVAILABLE. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE THIS REPORT WILL BE UPDATED. THIS INVESTIGATION WILL BE UPDATED SHOULD FURTHER INFORMATION BE PROVIDED.

Description of Event or Problem · 0

IN THE INTEREST OF CONTINUOUS IMPROVEMENT OF BOSTON SCIENTIFIC INGEVITY PACEMAKER LEADS, A RESEARCH EFFORT WAS STARTED IN (B)(6) 2018 TO EVALUATE THE ELECTRICAL PERFORMANCE OF INGEVITY LEADS MANUFACTURED WITH PLATINUM ANODE AND THE RECENTLY LAUNCH TITANIUM ANODE. ANALYSIS INCLUDED BOTH IMPLANT CHAMBERS (RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEADS, BOTH ACTIVE AND PASSIVE LEAD FIXATION) AND ALL STANDARD ELECTRICAL MEASURES (AUTO PACING THRESHOLD, PACING IMPEDANCE, AND SENSE AMPLITUDE). STORED LATITUDE DATA WAS REVIEWED BY BOSTON SCIENTIFIC RESEARCH AND DEVELOPMENT. IDENTIFICATION OF NUMERIC RA/RV PACING IMPEDANCE MEASUREMENTS THAT ARE OUT-OF-RANGE (LESS THAN OR EQUAL TO 200 OHMS, GREATER THAN OR EQUAL TO 2000 OHMS) OR NON-NUMERIC RA/RV PACING IMPEDANCE VALUES (SATURATED, LESS THAN MINIMUM) WILL BE REPORTED TO EVENT ANALYSIS AS POTENTIAL PRODUCT EXPERIENCES. BASED ON REVIEW OF STORED LATITUDE DATA FOR THIS INGEVITY LEAD MODEL NUMBER/SERIAL NUMBER, THE FOLLOWING CLINICAL OBSERVATION WAS IDENTIFIED: SATURATED RA PACING IMPEDANCE VALUE. THE AVAILABLE INFORMATION SUGGESTS THAT THIS LEAD REMAINS IN-SERVICE. IT WAS REPORTED THAT THIS BOSTON SCIENTIFIC SALES REPRESENTATIVE CONTACTED BOSTON SCIENTIFIC TECHNICAL SERVICES IN (B)(6) 2019 TO REPORT THAT THIS IMPLANTABLE RIGHT ATRIAL PACEMAKER LEAD WAS EXHIBITING PACING IMPEDANCE THAT WAS GREATER THAN 3000 OHMS ASSOCIATED WITH NO CAPTURE AT MAXIMUM OUTPUT AND RANDOM ELECTROGRAM NOISE. THE OBSERVATION WAS REPRODUCIBLE WITH POCKET MANIPULATION. THERE WAS NORMAL SENSING OF THE PATIENT INTRINSIC RHYTHM. AN X-RAY SHOWED NO GROSS ABNORMALITIES. THE PHYSICIAN FELT THAT THERE WAS NO REASONABLE EVIDENCE OF LEAD FRACTURE. THERE WAS NO CHANGES TO THE DEVICE PROGRAMMED SETTINGS AND THERE WERE NO PATIENT SYMPTOMS. ADDITIONAL INFORMATION INDICATED THAT THIS RA LEAD HAD A FRACTURE. AS A RESULT, THE PATIENT UNDERWENT A LASER EXTRACTION PROCEDURE, PART OF THIS RA LEAD WAS EXPLANTED, AND THE REST WAS LEFT IN THE RIGHT ATRIUM. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IN THE INTEREST OF CONTINUOUS IMPROVEMENT OF BOSTON SCIENTIFIC INGEVITY PACEMAKER LEADS, A RESEARCH EFFORT WAS STARTED IN (B)(6) 2018 TO EVALUATE THE ELECTRICAL PERFORMANCE OF INGEVITY LEADS MANUFACTURED WITH PLATINUM ANODE AND THE RECENTLY LAUNCH TITANIUM ANODE. ANALYSIS INCLUDED BOTH IMPLANT CHAMBERS (RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEADS, BOTH ACTIVE AND PASSIVE LEAD FIXATION) AND ALL STANDARD ELECTRICAL MEASURES (AUTO PACING THRESHOLD, PACING IMPEDANCE, AND SENSE AMPLITUDE). STORED LATITUDE DATA WAS REVIEWED BY BOSTON SCIENTIFIC RESEARCH AND DEVELOPMENT. IDENTIFICATION OF NUMERIC RA/RV PACING IMPEDANCE MEASUREMENTS THAT ARE OUT-OF-RANGE (LESS THAN OR EQUAL TO 200 OHMS, GREATER THAN OR EQUAL TO 2000 OHMS) OR NON-NUMERIC RA/RV PACING IMPEDANCE VALUES (SATURATED, LESS THAN MINIMUM) WILL BE REPORTED TO EVENT ANALYSIS AS POTENTIAL PRODUCT EXPERIENCES. BASED ON REVIEW OF STORED LATITUDE DATA FOR THIS INGEVITY LEAD MODEL NUMBER/SERIAL NUMBER, THE FOLLOWING CLINICAL OBSERVATION WAS IDENTIFIED: SATURATED RA PACING IMPEDANCE VALUE. THE AVAILABLE INFORMATION SUGGESTS THAT THIS LEAD REMAINS IN-SERVICE. IT WAS REPORTED THAT THIS BOSTON SCIENTIFIC SALES REPRESENTATIVE CONTACTED BOSTON SCIENTIFIC TECHNICAL SERVICES IN (B)(6) 2019 TO REPORT THAT THIS IMPLANTABLE RIGHT ATRIAL PACEMAKER LEAD WAS EXHIBITING PACING IMPEDANCE THAT WAS GREATER THAN 3000 OHMS ASSOCIATED WITH NO CAPTURE AT MAXIMUM OUTPUT AND RANDOM ELECTROGRAM NOISE. THE OBSERVATION WAS REPRODUCIBLE WITH POCKET MANIPULATION. THERE WAS NORMAL SENSING OF THE PATIENT INTRINSIC RHYTHM. AN X-RAY SHOWED NO GROSS ABNORMALITIES. THE PHYSICIAN FELT THAT THERE WAS NO REASONABLE EVIDENCE OF LEAD FRACTURE. THERE WAS NO CHANGES TO THE DEVICE PROGRAMMED SETTINGS AND THERE WERE NO PATIENT SYMPTOMS. ADDITIONAL INFORMATION INDICATED THAT THIS RA LEAD HAD A FRACTURE. AS A RESULT, THE PATIENT UNDERWENT A LASER EXTRACTION PROCEDURE, PART OF THIS RA LEAD WAS EXPLANTED, AND THE REST WAS LEFT IN THE RIGHT ATRIUM. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Additional Manufacturer Narrative · 1

THE AVAILABLE INFORMATION SUGGESTS THAT THIS LEAD REMAINS IN-SERVICE. THE INVESTIGATION OF THIS EVENT IS ON-GOING IN AN EFFORT TO OBTAIN ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 1

DESPTE MULTIPLE ATTEMPTS, NO ADDITIONAL INFORMATION WAS AVAILABLE FROM THE LOCAL REPERSENTATIVE.

Additional Manufacturer Narrative · 1

THIS INVESTIGATION WILL BE UPDATED SHOULD FURTHER INFORMATION BE PROVIDED.

Description of Event or Problem · 1

IN THE INTEREST OF CONTINUOUS IMPROVEMENT OF BOSTON SCIENTIFIC¿S INGEVITY PACEMAKER LEADS, A RESEARCH EFFORT WAS STARTED TO EVALUATE THE ELECTRICAL PERFORMANCE OF INGEVITY LEADS MANUFACTURED WITH PLATINUM ANODE AND THE RECENTLY LAUNCH TITANIUM ANODE. ANALYSIS INCLUDED BOTH IMPLANT CHAMBERS (RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEADS, BOTH ACTIVE AND PASSIVE LEAD FIXATION) AND ALL STANDARD ELECTRICAL MEASURES (AUTO PACING THRESHOLD, PACING IMPEDANCE, AND SENSE AMPLITUDE). STORED LATITUDE DATA WAS REVIEWED BY BOSTON SCIENTIFIC¿S RESEARCH AND DEVELOPMENT. IDENTIFICATION OF NUMERIC RA/RV PACING IMPEDANCE MEASUREMENTS THAT ARE OUT-OF-RANGE (LESS THAN OR=200 OHMS, GREATER THAN OR =2000 OHMS) OR NON-NUMERIC RA/RV PACING IMPEDANCE VALUES (SATURATED, LESS THAN MINIMUM) WILL BE REPORTED TO EVENT ANALYSIS AS POTENTIAL PRODUCT EXPERIENCES. BASED ON REVIEW OF STORED LATITUDE DATA FOR THIS INGEVITY LEAD MODEL NUMBER/SERIAL NUMBER, THE FOLLOWING CLINICAL OBSERVATION WAS IDENTIFIED: SATURATED RA PACING IMPEDANCE VALUE.

Description of Event or Problem · 1

IN THE INTEREST OF CONTINUOUS IMPROVEMENT OF BOSTON SCIENTIFIC INGEVITY PACEMAKER LEADS, A RESEARCH EFFORT WAS STARTED IN JULY 2018 TO EVALUATE THE ELECTRICAL PERFORMANCE OF INGEVITY LEADS MANUFACTURED WITH PLATINUM ANODE AND THE RECENTLY LAUNCH TITANIUM ANODE. ANALYSIS INCLUDED BOTH IMPLANT CHAMBERS (RIGHT ATRIAL (RA) AND RIGHT VENTRICULAR (RV) LEADS, BOTH ACTIVE AND PASSIVE LEAD FIXATION) AND ALL STANDARD ELECTRICAL MEASURES (AUTO PACING THRESHOLD, PACING IMPEDANCE, AND SENSE AMPLITUDE). STORED LATITUDE DATA WAS REVIEWED BY BOSTON SCIENTIFIC RESEARCH AND DEVELOPMENT. IDENTIFICATION OF NUMERIC RA/RV PACING IMPEDANCE MEASUREMENTS THAT ARE OUT-OF-RANGE (LESS THAN OR EQUAL TO 200 OHMS, GREATER THAN OR EQUAL TO 2000 OHMS) OR NON-NUMERIC RA/RV PACING IMPEDANCE VALUES (SATURATED, LESS THAN MINIMUM) WILL BE REPORTED TO EVENT ANALYSIS AS POTENTIAL PRODUCT EXPERIENCES. BASED ON REVIEW OF STORED LATITUDE DATA FOR THIS INGEVITY LEAD MODEL NUMBER/SERIAL NUMBER, THE FOLLOWING CLINICAL OBSERVATION WAS IDENTIFIED: SATURATED RA PACING IMPEDANCE VALUE. THE AVAILABLE INFORMATION SUGGESTS THAT THIS LEAD REMAINS IN-SERVICE. IT WAS REPORTED THAT THIS BOSTON SCIENTIFIC SALES REPRESENTATIVE CONTACTED BOSTON SCIENTIFIC TECHNICAL SERVICES IN JANUARY 2019 TO REPORT THAT THIS IMPLANTABLE RIGHT ATRIAL PACEMAKER LEAD WAS EXHIBITING PACING IMPEDANCE THAT WAS GREATER THAN 3000 OHMS ASSOCIATED WITH NO CAPTURE AT MAXIMUM OUTPUT AND RANDOM ELECTROGRAM NOISE. THE OBSERVATION WAS REPRODUCIBLE WITH POCKET MANIPULATION. THERE WAS NORMAL SENSING OF THE PATIENT INTRINSIC RHYTHM. AN X-RAY SHOWED NO GROSS ABNORMALITIES. THE PHYSICIAN FELT THAT THERE WAS NO REASONABLE EVIDENCE OF LEAD FRACTURE. THERE WAS NO CHANGES TO THE DEVICE PROGRAMMED SETTINGS AND THERE WERE NO PATIENT SYMPTOMS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
284687 INGEVITY? MRI IMPLANTABLE LEAD NVN BOSTON SCIENTIFIC CORPORATION 7741 816620 00802526523458
284688 INGEVITY? MRI IMPLANTABLE LEAD NVN BOSTON SCIENTIFIC CORPORATION 7741 816620 00802526523458

Patients

Seq Age Sex Outcome Treatment
1 68 YR Male Hospitalization| R 0296.| 4677.| 7741.| G447.| 0296| 4677| 7741| G447