FDA Adverse Event Malfunction Summary report: N

REVEAL LINQ MOBILE MANAGER APP

MDR report key: 10120392 · Received June 4, 2020

Report

Report Number
2182208-2020-01031
Event Type
Malfunction
Date Received
June 4, 2020
Date of Event
May 7, 2020
Report Date
July 10, 2020
Manufacturer
MEDTRONIC, INC.
Product Code
DSI
PMA / PMN Number
K150614
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DIAGNOSTIC MOBILE PROGRAMMER APPLICATION FAILED TO PROGRAM THE PATIENTS IMPLANTED DEVICE ON. THE USER INDICATES THE PATIENT WILL RETURN TO THE CLINIC TO RESOLVE THE ISSUE. THE CURRENT STATUS OF THE DEVICE REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT. IT WAS REPORTED THAT THE REMOTE MONITOR HAD MISSED DAILY WIRELESS AUDITS (DWA). IT WAS FOUND OUT THAT THE DEVICE APPEARED NOT TO HAVE BEEN PROGRAMMED ON. THE MONITOR REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
585181 REVEAL LINQ MOBILE MANAGER APP DETECTOR AND ALARM, ARRHYTHMIA DSI MEDTRONIC, INC. LMM-GENERAL

Patients

Seq Age Sex Outcome Treatment
1 77 YR