510(K) CLEARANCES 67 ▼8RECALLS POSTED 26CLASS I 2PMA DECISIONS 40 ▼14WEEK ENDING / FDA DATA AS OF
Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0375-2018Class II

PROPONENT EL DR Pacemaker

Boston Scientific Corporation / initiated 2017-12-07 / Open, Classified / root cause: design

Boston Scientific Corporation began a recall of PROPONENT EL DR Pacemaker on . FDA classified it as Class II and gives the reason as "Boston Scientific has received reports of intermittent over-sensing of the Minute Ventilation (MV) sensor signal with certain Boston Scientific pacemaker and cardiac resynchronization therapy pacemaker systems...". As of , the recall status on record is Open, Classified, and MDM tags the root cause as design.

Recall record

Recall number
Z-0375-2018
Classification
Class II
Status
Open, Classified
Initiated
Posted
Recalling firm
Boston Scientific Corporation
Product
PROPONENT EL DR Pacemaker
Product code
LWP Implantable Pulse Generator, Pacemaker (Non-Crt)
Reason for recall
Boston Scientific has received reports of intermittent over-sensing of the Minute Ventilation (MV) sensor signal with certain Boston Scientific pacemaker and cardiac resynchronization therapy pacemaker systems (pacemakers).
Root cause tag
design
FDA root cause
Device Design
Action
On December 19, 2017 the firm sent a letter to all their medical consignees stating the following: December 2017 Dear Doctor, Boston Scientific has received reports of intermittent oversensing of the Minute Ventilation (MV) sensor signal with certain Boston Scientific pacemaker and cardiac resynchronization therapy pacemaker systems (pacemakers). MV sensor signal oversensing may cause pre-syncope or syncope due to periods of pacing inhibition. This MV behavior may occur with any manufacturers pacing lead system, but Boston Scientific has determined it to be more likely for affected Boston Scientific pacemakers using Medtronic or Abbott/St. Jude (Abbott) leads implanted in either the right atrium (RA) or right ventricle (RV). Boston Scientific is actively developing a software update designed to automatically detect and resolve this MV sensor signal oversensing behavior. We anticipate submitting the software update to Regulatory Agencies in March 2018 and pending approval, will release it as soon as possible thereafter. Until this software update is available, Boston Scientific has additional re commendations to mitigate this risk for affected pacemaker systems. Root Cause Investigation The MV sensor in Boston Scientific pacemakers can be used for RightRate" (rate adaptive pacing), Respiratory Rate Trend, or AP Scan"1. When the RA/RV pacing leads and lead terminal connections are operating as intended, the MV sensor signal is appropriately filtered and therefore is not detected by the pacemaker or displayed on electrograms (EGMs). However, intermittency related to the lead or pacemaker-lead connection2 has the potential to create a transient high impedance condition. A high impedance condition may subsequently alter the MV sensor signal such that it becomes visible on EGMs and potentially subject to oversensing on the RA or RV channels. For a technical description of the Boston Scientifics MV sensor, please refer to Appendix A. Engineering analysis and
Distribution
AK, AL, AR, AZ, CA , CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OR, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY, and Puerto Rico Worldwide
Product codes and lots
Model L221

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0375-2018
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0354-2018Class IIOngoingVoluntary: Firm initiated
Z-0355-2018Class IIOngoingVoluntary: Firm initiated
Z-0356-2018Class IIOngoingVoluntary: Firm initiated
Z-0357-2018Class IIOngoingVoluntary: Firm initiated
Z-0358-2018Class IIOngoingVoluntary: Firm initiated
Z-0359-2018Class IIOngoingVoluntary: Firm initiated
Z-0360-2018Class IIOngoingVoluntary: Firm initiated
Z-0361-2018Class IIOngoingVoluntary: Firm initiated
Z-0362-2018Class IIOngoingVoluntary: Firm initiated
Z-0363-2018Class IIOngoingVoluntary: Firm initiated
Z-0364-2018Class IIOngoingVoluntary: Firm initiated
Z-0365-2018Class IIOngoingVoluntary: Firm initiated
Z-0366-2018Class IIOngoingVoluntary: Firm initiated
Z-0367-2018Class IIOngoingVoluntary: Firm initiated
Z-0368-2018Class IIOngoingVoluntary: Firm initiated
Z-0369-2018Class IIOngoingVoluntary: Firm initiated
Z-0370-2018Class IIOngoingVoluntary: Firm initiated
Z-0371-2018Class IIOngoingVoluntary: Firm initiated
Z-0372-2018Class IIOngoingVoluntary: Firm initiated
Z-0373-2018Class IIOngoingVoluntary: Firm initiated
Z-0374-2018Class IIOngoingVoluntary: Firm initiated
Z-0375-2018Class IIOngoingVoluntary: Firm initiated
Z-0376-2018Class IIOngoingVoluntary: Firm initiated
Z-0377-2018Class IIOngoingVoluntary: Firm initiated