inforMED
MalfunctionNHW

PATCH

Received Jul 14, 2011 · Event occurred Apr 19, 2011

Report 2124215-2011-06971 · MDR key 2162498

Device

Generic name

Implantable Lead

Model number

0041

Product problems

  • Appropriate Device Problem Term/Code Not Available

Patient

61 YR

  • Unspecified Infection

Narrative

Additional Manufacturer Narrative

ALL AVAILABLE INFORMATION INDICATES THAT THE DEVICE REMAINS IN SERVICE. AS NO FURTHER INFORMATION CONCERNING THIS REPORT IS EXPECTED, OUR INVESTIGATION IS COMPLETE. THIS INVESTIGATION WILL BE UPDATED SHOULD FURTHER INFORMATION BE PROVIDED.

Description of Event or Problem

BOSTON SCIENTIFIC RECEIVED INFORMATION THAT THE PATIENT IMPLANTED WITH THIS PRODUCT SUFFERED FROM A DEVICE POCKET INFECTION. THERE WAS NO REPORT OF ADVERSE PATIENT EFFECTS.