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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION FINELINE II STEROX; IMPLANTABLE LEAD

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BOSTON SCIENTIFIC CORPORATION FINELINE II STEROX; IMPLANTABLE LEAD Back to Search Results
Model Number 4456
Medical Device Problem Codes Fracture (1260); Mechanical Problem (1384); Difficult to Remove (1528); Device Contamination with Body Fluid (2317)
Health Effect - Clinical Code Hemorrhage/Blood Loss/Bleeding (1888)
Date of Event 05/01/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient with this right ventricular (rv) lead underwent removal of a pacemaker generator due to normal battery depletion (nbd) and extraction of a right ventricular lead that was densely adherent within the subclavian vein and myocardium.After initial attempts of retraction failed, alternating use of a laser sheath and a mechanical cutting tool successfully freed the lead from multiple binding sites.The lead was fractured.Fluoroscopic visualization of the rv was performed.The lead was ultimately separated from the myocardium and withdrawn without complication.A new dual chamber pacemaker was then implanted, the pocket was revised and closed, and the patient was transferred to recovery in stable condition.The lead was successfully explanted and replaced.No additional adverse patient effects were reported.
 
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Brand Name
FINELINE II STEROX
Common Device Name
IMPLANTABLE LEAD
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
4100 hamline avenue north
saint paul MN 55112
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
road 698, lot no. 12
dorado PR 00646 -260
*   00646-2602
Manufacturer Contact
timothy degroot
4100 hamline avenue north
saint paul, MN 55112
6515826168
MDR Report Key25318055
Report Number2124215-2026-28630
Device Sequence Number9920307
Product Code DTB
UDI-Device Identifier00802526087752
UDI-Public(01)00802526087752(17)180428
Combination Product (Y/N)Y
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P960004
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2016
Device Explanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 05/28/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Expiration Date04/28/2018
Device Model Number4456
Device Catalogue Number4456
Device Lot Number538743
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/01/2026
Initial Report FDA Received Date05/28/2026
Date Device Manufactured04/28/2016
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Hospitalization; Required Intervention;
Patient Age44 YR
Patient SexFemale
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