BOSTON SCIENTIFIC CORPORATION ACCOLADE MRI DR; IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT)
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Model Number L311 |
Device Problems
Incorrect, Inadequate or Imprecise Result or Readings (1535); Noise, Audible (3273)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 12/02/2022 |
Event Type
Injury
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Event Description
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It was reported that this pacemaker was emitting tones, and upon review was found to be in safety mode.Surgical intervention was performed and the pacemaker was explanted and replaced.No additional adverse patient effects were reported.The pacemaker is expected to be returned back from the field for analysis, this event will be updated upon completion of 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 and that bradycardia therapy remained available.Engineers determined that this device was demonstrating behavior consistent with a high internal cell impedance within the battery.The high internal impedance put this device at risk of experiencing transient voltage decreases (and associated resets) during periods of high-power consumption.When battery voltage drops below a minimum threshold, a system reset is performed.If three system resets occur within a 48-hour period, the device is designed to immediately enter safety mode operation to maintain back-up pacing with pre-defined, non-programmable settings.
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Event Description
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It was reported that this pacemaker was emitting tones, and upon review was found to be in safety mode.Surgical intervention was performed and the pacemaker was explanted and replaced.No additional adverse patient effects were reported.
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Search Alerts/Recalls
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