BOSTON SCIENTIFIC CORPORATION VALITUDE X4 CRT-P; PULSE GENERATOR, PACEMAKER, IMPLANTABLE, WITH CARDIAC RESYNCHRONIZATION (CRT-P)
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Model Number U128 |
Device Problems
High impedance (1291); Over-Sensing (1438)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 09/19/2021 |
Event Type
malfunction
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Manufacturer Narrative
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If additional information is received, a supplemental report will be filed at that time.
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Event Description
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It was reported that this cardiac resynchronization therapy pacemaker exhibited right atrial pace impedance measurements of greater than 3,000 ohms, noise and oversensing.It was noted that the noise had the appearance of minute ventilation (mv) oversensing.Two signal artifact monitor episodes resulting in the mv feature being disabled.Boston scientific technical services discussed troubleshooting options with the health care professional including further evaluation in the clinic.At this time the device remains in service.No adverse patient effects were reported.
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Event Description
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It was reported that this cardiac resynchronization therapy pacemaker exhibited right atrial pace impedance measurements of greater than 3,000 ohms, noise and oversensing.It was noted that the noise had the appearance of minute ventilation (mv) oversensing.Two signal artifact monitor episodes resulting in the mv feature being disabled.Boston scientific technical services discussed troubleshooting options with the health care professional including further evaluation in the clinic.At this time the device remains in service.No adverse patient effects were reported.
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Manufacturer Narrative
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This product has not been returned to boston scientific, and as a result, laboratory analysis could not be conducted.Investigation of the available information determined this device exhibited oversensing of noise generated by the minute ventilation (mv) that is related to intermittent increases in impedance measurements.Engineering analysis and testing of returned products has identified that any repeated, small movements of the lead terminal ring can create wearing of the lead terminal ring and generate microscopic particles, which may accumulate and oxidize over time.This can impact the connection between the spring contact and the lead ring, resulting in intermittent changes in impedance measurements.Please refer to the description field for more information regarding the specific circumstances of this event.
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