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Model Number PM1152 |
Device Problems
Failure to Interrogate (1332); No Pacing (3268)
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Patient Problems
Arrhythmia (1721); Fatigue (1849)
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Event Date 01/03/2024 |
Event Type
Injury
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Event Description
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It was reported that the patient presented in the hospital with complaints of fatigue and a slow heartrate.Upon investigation, the device was not providing pacing support, unable to be interrogated via inductive telemetry, and had no magnet response.The device was explanted and replaced to resolve the event and the patient was in stable condition.
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Manufacturer Narrative
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The reported events of no output, no inductive telemetry and no magnet response were confirmed.The device was received with no output and no telemetry communication.A visual inspection of the header attachment area detected an anomaly between the pre-casted header and titanium case.The device was cut open to enable further testing and the battery voltage was found at normal level.The feedthrough leak test was performed, indicating a device hermeticity breach.This is consistent with feedthrough damage as a result of fluid intrusion between the header and case, and subsequent fluid ingress to internal electronics.The hybrid circuitry was tested, and the current drain was normal.A manufacturing process anomaly may have occurred, which resulted in the header bonding anomaly.
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Search Alerts/Recalls
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