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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC, INC. MEDTRONIC; PULSE-GENERATOR, PACEMAKER, IMPLANTABLE

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MEDTRONIC, INC. MEDTRONIC; PULSE-GENERATOR, PACEMAKER, IMPLANTABLE Back to Search Results
Model Number MDT-UNKNOWN
Device Problems Signal Artifact/Noise (1036); Premature Discharge of Battery (1057); Electromagnetic Interference (1194); Incorrect Measurement (1383); Over-Sensing (1438); Inappropriate/Inadequate Shock/Stimulation (1574); Decreased Sensitivity (2534); Impedance Problem (2950); High Capture Threshold (3266)
Patient Problems Arrhythmia (1721); Tachycardia (2095)
Event Date 08/01/2009
Event Type  Injury  
Manufacturer Narrative
Medtronic was made aware of this event through a search of literature publications.It was not possible to ascertain specific device information from the literature publication or to match the event with previously reported events.This information is based entirely on journal literature.This event occurred outside the us.All information provided is included in this report.Patient information is limited due to confidentiality concerns.Of note, multiple patients were noted in the article; however, a one to one correlation could not be made with unique product serial/lot numbers.The baseline gender/age characteristics is male/71 years old.Without a lot number or device serial number, the manufacturing date cannot be determined.Since no device id was provided, it is unknown if this event has been previously reported.A request for additional information was made to no avail.Upon receipt of new information, a supplemental report will be submitted accordingly.Referenced article: a low critical event rate despite a high abnormal event rate in patients with cardiac implantable electric devices followed up by remote monitoring.Internal medicine.2019; 58(16):2333-2340.Doi: 10.2169/internalmedicine.1905-18.If information is provided in the future, a supplemental report will be issued.
 
Event Description
A journal article was reviewed that contained information regarding remote monitoring of cardiovascular implantable electronic devices (cieds) including implantable pulse generators (ipgs), implantable cardioverter defibrillators (icds), and cardiac resynchronization therapy defibrillators (crt-ds). it was reported that of about 16,560 transmissions from 1,849 patients of various manufacturers analyzed, abnormal events included: atrial tachyarrhythmias, ventricular tachyarrhythmias, inappropriate therapy, abnormal battery voltage, triggering elective replacement indicator (eri) prematurely, and one case of unexpected battery depletion.Lead impedance abnormality, non-physiologic noise, sensing and pacing failures, increased atrial and ventricular pacing thresholds, decreased atrial and ventricular sensing were also observed.The article noted that for the basis of this study, in clinic intervention was not tracked, it is not known whether intervention took place or not.The status of the products are unknown.No further patient complications have been reported as a result of this event.
 
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Brand Name
MEDTRONIC
Type of Device
PULSE-GENERATOR, PACEMAKER, IMPLANTABLE
Manufacturer (Section D)
MEDTRONIC, INC.
8200 coral sea street ne
mounds view MN 55112
Manufacturer (Section G)
MEDTRONIC, INC.
8200 coral sea street ne
mounds view MN 55112
Manufacturer Contact
paula bixby
8200 coral sea st ne
mounds view, MN 55112
7635055378
MDR Report Key10083252
MDR Text Key193419412
Report Number2182208-2020-00935
Device Sequence Number1
Product Code DXY
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
P010031
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Reporter Occupation Physician
Type of Report Initial
Report Date 05/22/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberMDT-UNKNOWN
Device Catalogue NumberMDT-UNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 05/05/2020
Initial Date FDA Received05/22/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Life Threatening;
Patient Age71 YR
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