MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ALTRUA 60; IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT)

Model Number	S601
Medical Device Problem Code	Battery Problem (2885)
Health Effect - Clinical Codes	No Known Impact Or Consequence To Patient (2692); Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available (4581); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/10/2020
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
Event or Problem Description
It was reported that this pacemaker showed two years in longevity last device check which was six months ago.However, recently the device had reached elective replacement indicator (eri).Moreover, it was noted that the output was at five.Boston scientific technical services (ts) discussed that likely threshold did increased that could cause the decrease in longevity.Ts then suggested to check lead trend and advised device should be replaced.To date, this device remains in service.No adverse patient effects were reported.
Event or Problem Description
It was reported that this pacemaker showed two years in longevity last device check which was six months ago.However, recently the device had reached elective replacement indicator (eri).Moreover, it was noted that the output was at five.Boston scientific technical services (ts) discussed that likely threshold did increased that could cause the decrease in longevity.Ts then suggested to check lead trend and advised device should be replaced.To date, this devcie remains in service.No adverse patient effects were reported.Additional information indicated that the device was explanted.No additional adverse patient effects were reported.
Additional Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.The patient code appropriate term / code not available captures the reportable event of surgery.
Event or Problem Description
It was reported that this pacemaker showed two years in longevity last device check which was six months ago.However, recently the device had reached elective replacement indicator (eri).Moreover, it was noted that the output was at five.Boston scientific technical services (ts) discussed that likely threshold did increased that could cause the decrease in longevity.Ts then suggested to check lead trend and advised device should be replaced.To date, this device remains in service.No adverse patient effects were reported.Additional information indicated that the device was explanted.No additional adverse patient effects were reported.
Additional Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.The patient code appropriate term / code not available captures the reportable event of surgery.Upon receipt at our post market quality assurance laboratory, detailed mechanical and electrical testing was performed on the device.The device battery status was eol.The device functioned normally throughout testing.Any changes in these factors will impact the battery consumption calculation and therefore the remaining longevity estimate.Please note that, despite the drop in estimated longevity remaining, the actual battery condition did not change significantly between follow-ups.In summary, it was determined that this device experienced normal battery depletion, but declared eol earlier than previously estimated.Of note, the estimated remaining battery longevity of this pacemaker was designed to be calculated and trigger corresponding device replacement indicators based on the pacing capacitor charge time, which progressively increases as the battery depletes.These pacemakers were not designed with an ability to calculate remaining longevity for every possible current drain, which may cause replacement indicators to trigger earlier than what was previously estimated; however, it does not negatively impact the use, operation, safety, or performance of the device.

• Brand Name: ALTRUA 60
• Common Device Name: IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT)
• Manufacturer (Section D): BOSTON SCIENTIFIC CORPORATION; 4100 hamline avenue north; saint paul MN 55112
• Manufacturer (Section G): BOSTON SCIENTIFIC CORPORATION; cashel road; clonmel ; EI
• Manufacturer Contact: timothy degroot ; 4100 hamline avenue north; saint paul, MN 55112 ; 6515826168
• MDR Report Key: 11233444
• Report Number: 2124215-2021-01986
• Device Sequence Number: 4018147
• Product Code: LWP
• UDI-Device Identifier: 00802526484469
• UDI-Public: 00802526484469
• Combination Product (Y/N): N
• Initial Reporter State: MA
• Initial Reporter Country: US
• PMA/510(K) Number: N970003/S096
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2011
• Device Explanted Year: 2021
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 04/27/2022

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
• Operator of Device: Lay User/Patient
• Device Expiration Date: 09/14/2013
• Device Model Number: S601
• Device Catalogue Number: S601
• Device Lot Number: 164241
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Initial Date Received by Manufacturer: 12/29/2020
• Supplement Date Received by Manufacturer: 01/26/2021; 02/28/2022
• Initial Report FDA Received Date: 01/26/2021
• Supplement Report FDA Received Date: 05/05/2021; 04/27/2022
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/16/2011
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Hospitalization; Required Intervention
• Patient Age: 82 YR
• Patient Sex: Female