Model Number 7742 |
Device Problems
Device Dislodged or Dislocated (2923); Material Integrity Problem (2978)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 05/27/2015 |
Event Type
malfunction
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Event Description
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Boston scientific received information that this right ventricular (rv) lead was not successfully implanted due to repeated dislodgments during the implant procedure.Helix mechanism eventually became non-functional.No adverse patient effects were reported.
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Manufacturer Narrative
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(b)(4).Upon receipt at our post market quality assurance laboratory, visual inspection noted the helix was retracted and dried blood was present in the helix housing.Resistance testing found the lead was not electrically continuous.Detailed analysis confirmed that the cathode conductor coil was fractured at the distal end of the terminal pin.Microscopic analysis confirmed that the lead became fractured due to torsional overstress.A laboratory technician tested the helix mechanism and found it was nonfunctional, confirming the clinical observation.Based upon the clinical observations and the laboratory findings, we believe the conductor coil became fractured during attempts to extend/retract the helix.
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Manufacturer Narrative
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(b)(4).Additional analysis was performed on this lead.An x-ray of the lead confirmed that the inner conductor coils are continuous however they are bunched down just distal to the terminal pin.Repeat continuity testing confirmed this.Dried blood/body fluids were observed in the helix housing.A laboratory technician tested the helix mechanism and found it was nonfunctional, confirming the clinical observation.There was nothing wrong with the lead tip that would have contributed to the dislodgement.Based upon the clinical observations and the laboratory findings, we believe that body fluids inside the helix housing caused the irregularity in helix function.
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Search Alerts/Recalls
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