inforMED
InjuryNHW

ENPATH

Received Jan 13, 2012 · Event occurred Dec 28, 2011

Report 2124215-2012-00355 · MDR key 2415398

Device

Generic name

Implantable Lead

Model number

4047

Product problems

  • Fracture

Patient

56 YR

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE LEAD WAS SURGICALLY ABANDONED AND WAS NOT RETURNED FOR TESTING. THEREFORE, BOSTON SCIENTIFIC CANNOT CONFIRM THE REPORTED CLINICAL OBSERVATIONS. NO OTHER ADVERSE EVENTS HAVE BEEN REPORTED. THIS PRODUCT ISSUE WILL BE UPDATED IF ADDITIONAL INFORMATION IS RECEIVED.

Description of Event or Problem

BOSTON SCIENTIFIC RECEIVED INFORMATION THAT DURING A ROUTINE FOLLOW UP VISIT, A FRACTURE OF THIS LEFT VENTRICULAR (LV) EPICARDIAL LEAD WAS REVEALED. A REVISION PROCEDURE WAS PERFORMED AND THE LEAD WAS REMOVED FROM SERVICE AND SUCCESSFULLY REPLACED. NO ADVERSE PATIENT EFFECTS WERE REPORTED.