• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION INGENIO; PACEMAKER

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

BOSTON SCIENTIFIC CORPORATION INGENIO; PACEMAKER Back to Search Results
Model Number J176
Device Problem Premature Discharge of Battery (1057)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/18/2021
Event Type  Injury  
Event Description
It was reported that the battery of this implantable device was suspected to be depleting prematurely.This device was replaced and is expected to be returned to boston scientific for analysis.No additional adverse patient effects were reported.
 
Event Description
It was reported that the battery of this implantable device was suspected to be depleting prematurely.This device was replaced and was returned to boston scientific for analysis.No additional adverse patient effects were reported.
 
Manufacturer Narrative
The product was returned to boston scientific, and a subsequent laboratory analysis was conducted.The analysis determined that this device exhibited sensing of chronic high atrial rates which impacted battery longevity over time.Chronic high atrial sensing rates, such as for patients with chronic atrial fibrillation, can reduce longevity in devices that are programmed with atrial sensing on.Device power consumption increases proportional to the additional processing for sensed atrial events.As a result, the high rate of atrial sensing can result in the longevity being lower than expected, as observed with this device.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
INGENIO
Type of Device
PACEMAKER
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 Key16064401
MDR Text Key306298521
Report Number2124215-2022-55371
Device Sequence Number1
Product Code LWP
Combination Product (y/n)N
Reporter Country CodeNL
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 07/10/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/28/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Expiration Date08/09/2015
Device Model NumberJ176
Device Catalogue NumberJ176
Device Lot Number104712
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received07/07/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured08/19/2013
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention; Hospitalization;
-
-