FDA Adverse Event Injury Summary report: N

MICROTHIN P-II UNIPOLAR PULSE GENERATOR

MDR report key: 94114 · Received March 6, 1997

Report

Report Number
2124215-1997-00946
Event Type
Injury
Date Received
March 6, 1997
Date of Event
December 23, 1996
Report Date
December 5, 1996
Manufacturer
CARDIAC PACEMAKERS
Product Code
DXY
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

EVENT DESCRIPTION CPI RECEIVED INFORMATION THAT THIS IMPLANTABLE PULSE GENERATOR (IPG) WAS EXPLANTED FOR 'BATTERY FAILURE'. CPI MINIMUM LONGEVITY AT NOMINAL SETTINGS WITH A 500 OHM LEAD IS 77 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 MICROTHIN P-II UNIPOLAR PULSE GENERATOR Implant UNIPOLAR IMPLANTABLE PULSE GENERATOR DXY CARDIAC PACEMAKERS 0523 NA

Patients

Seq Age Sex Outcome Treatment
1 83 YR Required Intervention THE DEVICE 4150/010297 WAS IMPLANTED 28-MAR-1985