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