inforMED
InjuryNHW

UNKNOWN

Received Jan 13, 2012 · Event occurred Dec 14, 2011

Report 2124215-2012-00567 · MDR key 2415545

Device

Generic name

Implantable Lead

Model number

4312

Product problems

  • Fracture
  • Use of Device Problem

Patient

50 YR

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

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 RING LEAD WAS PLUGGED INTO THE BIFURCATED PORTION OF THE PACEMAKER AND THAT THIS LEAD HAD A COMPLETE FRACTURE OF THE CONDUCTOR. THIS LEAD HAD A PREVIOUS BREAK NEAR THE TERMINAL, BUT HAD BEEN REPAIRED AND HAD A NON-BOSTON ADAPTOR IN PLACE TO PUT IT INTO THE DEVICE. THE ADAPTOR WAS CUT OFF AND THE LEAD WAS SURGICALLY ABANDONED. HOWEVER, UPON THE REMOVAL OF THE PACEMAKER, THE HEADER SEPARATED FROM THE CAN WITHOUT EFFORT WHEN A SLIGHT TORQUE WAS APPLIED.