inforMED
InjuryKRG

IMPLANTABLE DEVICE

Received Apr 16, 2024 · Event occurred Jan 1, 2011

Report 2124215-2024-23149 · MDR key 19122698

Device

Generic name

Implantable Device

Model number

A155

Catalog number

A155

Lot number

112724

Product problems

  • Defective Device
  • Defective Device

Patient

59 YR · Male

  • Bacterial Infection
  • Bacterial Infection

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT WITH THIS DEVICE HAD EXHIBITED VEGETATION ON LEADS WITH METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS INFECTION. A REVISION WAS PERFORMED AND THE DEVICE ALONG WITH THE RIGHT VENTRICULAR (RV) LEAD AND NON-BOSTON SCIENTIFIC RIGHT ATRIAL (RA) LEAD WERE EXPLANTED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. THIS ICD WAS NOT RETURNED FOR ANALYSIS.