inforMED
InjuryLDF

SWAN GANZ

Received Aug 5, 2019 · Event occurred Jul 26, 2019

Report MW5088790 · MDR key 8865484

Device

Generic name

Electrode, Pacemaker, Temporary

Model number

D97130FS

Lot number

62178567

Product problems

  • Failure to Capture

Patient

78 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

TEMPORARY PACEMAKER WAS INSERTED AND IT WAS NOT CAPTURING, SUSPECTED MALFUNCTION OF THE PACEMAKER LEAD. FDA SAFETY REPORT IDS# (B)(4).