MAUDE Adverse Event Report: ST. JUDE MEDICAL, INC.(CRM-SYLMAR) ABBOTT PACEMAKER; IMPLANTABLE PACEMAKER PULSE GENERATOR

Device Problem Therapy Delivered to Incorrect Body Area (1508)

Patient Problem Insufficient Information (4580)

Event Type  malfunction  

Manufacturer Narrative

Details are listed in the attached article, titled ¿improvement of lv reverse remodeling using dynamic programming of fusion-optimized atrioventricular intervals in cardiac resynchronization therapy.Front.Cardiovasc.Med.8:700424.Doi: 10.3389/fcvm.2021.700424" further information was requested but not received.

Event Description

It was reported through a research article that either a quadra allure pacemaker (pm) pm3140 or pm3242 may have caused phrenic nerve stimulation on a patient.Reprogramming was performed.No information was given regarding the involving product, healthcare provider and patient.

• Brand Name: ABBOTT PACEMAKER
• Type of Device: IMPLANTABLE PACEMAKER PULSE GENERATOR
• Manufacturer (Section D): ST. JUDE MEDICAL, INC.(CRM-SYLMAR); 15900 valley view court; sylmar CA 91342
• Manufacturer (Section G): ST. JUDE MEDICAL, INC.(CRM-SYLMAR); 15900 valley view court; sylmar CA 91342
• Manufacturer Contact: sonali arangil ; 15900 valley view court; sylmar, CA 91342
• MDR Report Key: 12636159
• MDR Text Key: 278995596
• Report Number: 2017865-2021-33059
• Device Sequence Number: 1
• Product Code: NKE
• Combination Product (y/n): N
• Reporter Country Code: CH
• PMA/PMN Number: P030035
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Literature
• Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date: 04/25/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/14/2021
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 04/25/2022
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1