FDA Adverse Event
Malfunction
Summary report: N
PACEART OPTIMA SYSTEM SOFTWARE
MDR report key: 10402259
·
Received August 13, 2020
Report
- Report Number
- 2182208-2020-01514
- Event Type
- Malfunction
- Date Received
- August 13, 2020
- Date of Event
- July 27, 2020
- Report Date
- August 13, 2020
- Manufacturer
- MEDTRONIC, INC.
- Product Code
- KRE
- PMA / PMN Number
- K110693
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
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 LONGEVITY INFORMATION RECEIVED FROM THE PATIENT MANAGEMENT DATABASE APPLICATION WAS DIFFERENT THAT THE INFORMATION FROM THE REMOTE MONITORING NETWORK. ADVISED CALLER THAT THE PATIENT MANAGEMENT DATABASE APPLICATION CALCULATES REMAINING LONGEVITY DIFFERENTLY THAN THE NETWORK, AND THE CLINICIAN SHOULD FOLLOW WHAT THE NETWORK SHOWS. FURTHER INVESTIGATION IS BEING CONDUCTED. THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 865333 | PACEART OPTIMA SYSTEM SOFTWARE | ANALYZER, PACEMAKER GENERATOR FUNCTION, INDIRECT | KRE | MEDTRONIC, INC. | POS12D18 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |