inforMED
MalfunctionGXZ

APS¿ (AUTOMATIC PERIODIC STIMULATION) ELECTRODE

Received Sep 29, 2024 · Event occurred Sep 2, 2024

Report 9612501-2024-02504 · MDR key 20329608

Device

Generic name

Electrode, Needle

Model number

8228052

Catalog number

8228052

Lot number

0228592038

Product problems

  • Incorrect, Inadequate or Imprecise Result or Readings
  • Incorrect, Inadequate or Imprecise Result or Readings

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED DURING A MEDIASTINOSCOPY AND ESOPHAGEAL SURGERY, WHEN THE APS ELECTRODE WAS ATTACHED TO THE VAGUS NERVE, THE AMPLITUDE COULD NOT BE CHECKED BY ADJUSTMENT; THE INSERTION AND REMOVAL ARE CHECKED, BUT THE NEW APS ELECTRODE WAS OPENED AND COULD BE USED WITH NO CHANGE, SO A DISCONNECTION OF THE DEVICE WAS SUSPECTED. THERE WAS NO PATIENT INJURY.

Additional Manufacturer Narrative

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.