inforMED
DeathLWS

Evera¿ S DR

Received Jul 31, 2026 · Event occurred Jul 21, 2026

Report 3004209178-2026-12848 · MDR key 50098048

Device

Generic name

Implantable Cardioverter Defibrillator (non-crt)

Model number

DDBC3D1

Catalog number

DDBC3D1

Product problems

  • Defibrillation/Stimulation Problem

Patient

84 YR · Male

  • Ventricular Fibrillation

Narrative

Description of Event or Problem

It was reported that the Implantable Cardioverter Defibrillator (ICD) indicated that short circuit protection was triggered during high voltage therapy and less than programmed high voltage energy was delivered for a Ventricular Fibrillation (VF) episode. The patient passed away at the time of the episode.

Additional Manufacturer Narrative

Medtronic submits this report to comply with FDA regulations 21 CFR Parts 4 and 803. Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report. This report does not constitute an admission or a conclusion by FDA, Medtronic, or its employees that the device, Medtronic, or its employee caused or contributed to the event described in the report. Any required fields that are unpopulated are blank because the information is currently unknown or unavailable. Medtronic will submit a supplemental report if additional relevant information becomes known.