inforMED
InjuryNHW

PATCH

Received Jan 11, 2013 · Event occurred Nov 16, 2012

Report 2124215-2012-16480 · MDR key 2910803

Device

Generic name

Implantable Lead

Model number

0041

Product problems

  • High impedance
  • Appropriate Device Problem Term/Code Not Available

Patient

51 YR

  • Unspecified Infection

Narrative

Additional Manufacturer Narrative

THE LEADS REMAIN IMPLANTED AND SURGICALLY ABANDONED. 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 OUT OF RANGE SHOCK IMPEDANCES GREATER THAN 125 OHMS WERE OBSERVED ON THE RIGHT VENTRICULAR (RV) LEAD. THIS WAS NOTED FOLLOWING THE RECENT DEVICE CHANGE OUT THAT OCCURRED IN THE PREVIOUS MONTH. THIS PATIENT HAS AN ABDOMINAL SYSTEM. THE CONCERN WAS THAT THIS MAY BE THE CAUSE OF THE OUT OF RANGE MEASUREMENTS. BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) DISCUSSED PERFORMING FURTHER TESTING OR TO PERFORM A SAVE TO DISC FOR FURTHER INFORMATION. SUBSEQUENTLY ADDITIONAL INFORMATION WAS RECEIVED THAT FOUR DAYS FOLLOWING THIS REPORT, THIS SYSTEM WAS PART OF A REVISION DUE TO AN INFECTION. NO ADDITIONAL TESTING OR FOLLOW-UP WAS PERFORMED BECAUSE OF THE INFECTION. THERE WERE NO PATIENT SYMPTOMS OR ADVERSE EFFECTS RELATED TO THE OUT OF RANGE IMPEDANCE MEASUREMENTS. THE LEADS WERE ABANDONED AND REMAIN IMPLANTED. THE DEVICE WILL BE RETURNED.