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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ALTRUA? 60; Pacemaker

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BOSTON SCIENTIFIC CORPORATION ALTRUA? 60; Pacemaker Back to Search Results
Model Number S603
Medical Device Problem Code Interrogation Problem (4017)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/21/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the health care professional (hcp) called technical services (ts) for a consult interrogation of this pacemaker system.Troubleshooting efforts were not attempted due to patient left against medical advise.No adverse patient effects were reported.At this time, this pacemaker remains in service.
 
Additional Manufacturer Narrative
If pertinent information is provided in the future, a supplemental report will be submitted.
 
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Brand Name
ALTRUA? 60
Common Device Name
Pacemaker
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
4100 hamline avenue north
saint paul MN 55112
Manufacturer (Section G)
Boston Scientific Corporation
cashel road
clonmel E91 T 862
EI   E91 T862
Manufacturer Contact
timothy degroot
4100 hamline avenue north
saint paul, MN 55112
+1(651)582-6168
MDR Report Key50197050
Report Number2124215-2026-42720
Device Sequence Number21441746
Product Code LWP
UDI-Device Identifier00802526484483
UDI-Public(01)00802526484483(17)120806
Combination Product (Y/N)N
Initial Reporter StateKY
Initial Reporter CountryUS
PMA/510(K) Number
N970003
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2010
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 08/10/2026
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 Date08/06/2012
Device Model NumberS603
Device Catalogue NumberS603
Device Lot Number815577
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 07/22/2026
Initial Report FDA Received Date08/10/2026
Date Device Manufactured08/10/2010
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 Age63 YR
Patient SexMale
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