Model Number 5076-58 |
Device Problems
Failure to Capture (1081); Device Contamination with Body Fluid (2317); Device Dislodged or Dislocated (2923)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/17/2024 |
Event Type
Injury
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Manufacturer Narrative
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Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event Description
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It was reported that the right ventricular (rv) lead dislodged into the atrial and there was a loss of capture.They attempted to reposition the lead, it was noted that when trying to reposition the lead the stylet wouldn't fully advance.It was noted that blood may have got into the lead.The lead was explanted and replaced.No patient complications have been reported as a result of this event.
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Manufacturer Narrative
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Product event summary:the distal portion of the lead was returned, analyzed, and no anomalies were found.The distal low voltage electrode of the lead was covered in blood.The distal low voltage electrode of the lead was covered in body tissue/fibrotic growth.Visual analysis of the lead indicated the lead was stretched.Visual analysis of the lead indicated apparent explant damage.The analyst noted no insulation breach or blood was observed in the portion of lead returned.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Search Alerts/Recalls
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