inforMED
InjuryNHW

PATCH

Received Jul 12, 2013 · Event occurred Apr 5, 2013

Report 2124215-2013-10886 · MDR key 3224571

Device

Generic name

Implantable Lead

Model number

0040

Product problems

  • High impedance
  • Device Displays Incorrect Message

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

BOSTON SCIENTIFIC RECEIVED INFORMATION THAT DURING THE IMPLANT PROCEDURE, WHEN THE CHRONIC RIGHT VENTRICULAR LEAD WAS CONNECTED WITH AN ADAPTOR TO THIS DEVICE HIGH OUT OF RANGE SHOCK IMPEDANCE MEASUREMENTS WERE OBTAINED. MEASUREMENTS WITH THE PREVIOUS DEVICE (VENTAK PRISM MODEL 1857) WERE WITHIN NORMAL RANGE. CONNECTIONS WERE VERIFIED. IN ADDITION, THE DIFFERENT VECTORS WERE MEASURED AND DISPLAYED SIMILAR OUT OF RANGE MEASUREMENTS. ELECTROGRAMS WERE NORMAL. THE PROCEDURE WAS ENDED WITHOUT A SHOCK DELIVERY AND FURTHER FOLLOW UP WILL BE PERFORMED. NO ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED. A MANUAL 1.1 J SHOCK WAS DELIVERED RESULTING IN AN ALERT OF SHORT CIRCUIT. A DECISION HAS BEEN MADE TO PERFORM A SYSTEM REVISION. SUBSEQUENTLY, A REPLACEMENT PROCEDURE WAS PERFORMED. THIS LEAD WAS SURGICALLY ABANDONED AND REPLACED.

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.