inforMED
InjuryNHW

PATCH

Received Jan 5, 2011 · Event occurred Oct 28, 2010

Report 2124215-2010-21049 · MDR key 1947800

Device

Generic name

Implantable Lead

Model number

0041

Product problems

  • Fracture
  • Impedance Problem

Patient

71 YR

  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE LEADS WERE CAPPED AND ABANDONED AND SUCCESSFULLY REPLACED. NO ADDITIONAL INFORMATION IS AVAILABLE AND THE LEADS WILL NOT BE RETURNED FOR ANALYSIS. IF ANY ADDITIONAL INFORMATION DOES BECOME AVAILABLE, THIS REPORT WILL BE UPDATED.

Additional Manufacturer Narrative

A SYSTEM REPLACEMENT HAS BEEN SCHEDULED FOR A LATER DATE. IT IS UNKNOWN IF THIS LEAD WILL BE RETURNED ONCE IT IS EXPLANTED. NO ADDITIONAL INFORMATION IS AVAILABLE. IF ANY ADDITIONAL INFORMATION DOES BECOME AVAILABLE, THIS REPORT WILL BE UPDATED.

Description of Event or Problem

A REVISION WAS PERFORMED AND REVEALED THAT BOTH PATCH LEADS WERE FRACTURED.

Description of Event or Problem

BOSTON SCIENTIFIC RECEIVED INFORMATION THAT ONE OF THESE TWO EPICARDIAL PATCH LEADS HAS AN OUT OF RANGE SHOCK IMPEDANCE MEASUREMENT. AT THIS TIME, IT IS UNKNOWN WHICH LEAD IS CAUSING THE OUT OF RANGE MEASUREMENT. NO ADVERSE PATIENT EFFECTS WERE REPORTED.