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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ALTRUA 60; IMPLANTABLE DEVICE

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BOSTON SCIENTIFIC CORPORATION ALTRUA 60; IMPLANTABLE DEVICE Back to Search Results
Model Number S602
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/05/2022
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Upon receipt at our post market quality assurance laboratory, detailed mechanical and electrical testing was performed on the device.The device battery status was eol.The device functioned normally throughout testing.Laboratory analysis determined that this device experienced normal battery depletion; however, the estimated longevity remaining value appeared to decrease more quickly than expected between routine follow-ups.Factors influencing the estimated longevity remaining calculation include pacing rate, amplitude, pulse-width and lead impedance.Any (even slight) changes in these factors will impact the battery consumption calculation and therefore the remaining longevity estimate.Please note that, despite the drop in estimated longevity remaining, the actual battery condition did not change significantly between follow-ups.In summary, it was determined that this device experienced normal battery depletion but declared eol earlier than previously estimated.
 
Event or Problem Description
It was reported that there was concern for premature battery depletion.The longevity was three years in november 2021 and had recently reached end of life.It was noted that the patient had high pacing thresholds.The pacemaker was implanted in august 2010 and had already exceeded longevity expectations.The device was replaced and no adverse patient effects were reported.
 
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Brand Name
ALTRUA 60
Common Device Name
IMPLANTABLE DEVICE
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 Key16635790
Report Number2124215-2023-14678
Device Sequence Number20627947
Product Code LWP
UDI-Device Identifier00802526484476
UDI-Public00802526484476
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
N970003/S096
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2010
Device Explanted Year2022
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/29/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Expiration Date03/05/2012
Device Model NumberS602
Device Catalogue NumberS602
Device Lot Number764776
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/18/2022
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/03/2023
Initial Report FDA Received Date03/29/2023
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/10/2010
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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