Related manufacturer reference number: 2017865-2020-11560.It was reported that the patient presented for a routine generator change.Upon interrogation, it was noted that the implantable cardioverter defibrillator exhibited low r-wave sensing on the right ventricular lead.It was noted that the patient had occasionally twiddled with their device and moved the device in the pocket.During the procedure, it was noted that the right ventricular lead had pulled back and there was outer insulation damage due to the lead rubbing against the device.The low r-waves was believed to be due to the device pulling back the lead when it was moved in the pocket.The device and lead were explanted and replaced.Patient was stable.
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