inforMED
InjuryNHW

PATCH

Received Jul 22, 2013 · Event occurred Apr 24, 2013

Report 2124215-2013-08459 · MDR key 3240067

Device

Generic name

Implantable Lead

Model number

0041

Product problems

  • Appropriate Device Problem Term/Code Not Available

Patient

47 YR

  • Unspecified Infection
  • Sepsis

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 THIS PRODUCT WAS PART OF A SYSTEM REVISION DUE TO INFECTION. ADDITIONAL RECEIVED INFORMATION INDICATES THAT THE PATIENT HAD SEPSIS. THERE WERE NO ADDITIONAL ADVERSE EFFECTS REPORTED. THE PRODUCT WAS SURGICALLY ABANDONED.