As of today, the medical device is not available for analysis, therefore the device itself could not be investigated.The analysis is thus based on the inspection of the manufacturing documents of the device as well as on the provided data.The quality documents accompanying the manufacturing process for this device were re-investigated.All production steps were performed accordingly, and in particular the final acceptance test proved the device functions to be as specified.The analysis of the provided trend data, acquired between (b)(6) 2023 and (b)(6) 223 recorded the pacing impedance increase from 600 ohms to >3000 ohms since june 2023.The pacing threshold showed and increase from 1 v to 1.9 v.The analysis of the provided iegm episodes revealed artifacts on the ff channel and lv channel, which led to oversensing.In spite of the available information, no conclusion can be drawn regarding the root cause of the clinical observation.An analysis of the lead itself would be necessary to determine the root cause.Should additional information or the device itself become available for analysis, the investigation will be updated.
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