Model Number V173 |
Device Problems
Signal Artifact/Noise (1036); Premature Discharge of Battery (1057); Over-Sensing (1438); Pacing Problem (1439); Pocket Stimulation (1463); Incorrect, Inadequate or Imprecise Result or Readings (1535); Inappropriate or Unexpected Reset (2959)
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Patient Problem
Asystole (4442)
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Event Date 03/01/2022 |
Event Type
Injury
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Event Description
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It was reported that this cardiac resynchronization therapy pacemaker (crt-p) during routine follow up, exhibited an alert that the device entered safety mode unexpectedly.It was noted the device was suspected to have exhibited premature battery depletion as prior review indicated two years remained.Technical services (ts) discussed the limited device functionality, and recommended emergent replacement, as there is no reprogramming available in safety mode.Subsequently the next day, the crt-p was explanted and a new device of a different model, was successfully implanted.No additional adverse patient effects were reported.The crt-p has been returned and analysis is pending.This report will be updated with pertinent information, upon completion of product analysis.
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Event Description
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It was reported that this cardiac resynchronization therapy pacemaker (crt-p) during routine follow up, exhibited an alert that the device entered safety mode unexpectedly.It was noted the device was suspected to have exhibited premature battery depletion as prior review indicated two years remained.Technical services (ts) discussed the limited device functionality, and recommended emergent replacement, as there is no reprogramming available in safety mode.Subsequently the next day, the crt-p was explanted and a new device of a different model, was successfully implanted.No additional adverse patient effects were reported.The crt-p has been returned and analysis is pending.This report will be updated with pertinent information, upon completion of product analysis.
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Manufacturer Narrative
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Upon receipt at our post market quality assurance laboratory, this device was thoroughly inspected and analyzed.Interrogation of the device confirmed it was operating in safety mode due to system resets.It was confirmed that brady therapy remained available.The system resets occurred during a telemetry session and caused the device to enter safety mode.Engineers determined that this device was demonstrating behavior consistent with a high internal cell impedance within the battery.The high internal impedance resulted in the system resets due to temporary high-power consumption related to telemetry attempts and subsequent reversion to safety mode operation.Boston scientific has issued a field safety notice regarding ingenio extended life (el) and cardiac resynchronization therapy pacemaker (crt-p) devices that may exhibit this behavior.This particular device is included in the high impedance in ingenio extended life (el) pacemaker and crt-p advisory population.
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Search Alerts/Recalls
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