FDA Adverse Event Injury Summary report: N

MICROTHIN P-II UNIPOLAR PULSE GENERATOR

MDR report key: 95698 · Received May 8, 1997

Report

Report Number
2124215-1997-01401
Event Type
Injury
Date Received
May 8, 1997
Date of Event
August 14, 1996
Report Date
March 7, 1997
Manufacturer
CARDIAC PACEMAKERS
Product Code
DXY
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, 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 PREMATURE BATTERY FAILURE. CPI MINIMUM LONGEVITY AT NOMINAL SETTINGS WITH A 500 OHM LEAD IS 77 MONTHS. THE IPG HAS BEEN IMPLANTED FOR 152 MONTHS.

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 79 YR Required Intervention THE DEVICE 4113/019152 WAS IMPLANTED 16-DEC-1983| THE DEVICE 0465/250927 WAS IMPLANTED 14-AUG-1996