FDA Adverse Event
Malfunction
Summary report: N
MEDTRONIC, INC.
MDR report key: 17208299
·
Received June 27, 2023
Report
- Report Number
- 17208299
- Event Type
- Malfunction
- Date Received
- June 27, 2023
- Date of Event
- May 12, 2023
- Report Date
- June 5, 2023
- Manufacturer
- MEDTRONIC, INC.
- Product Code
- GEI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
NURSE PLUGGED IN ENDOVENOUS CATHETER INTO ABLATION MONITOR AND CATHETER WOULD NOT WORK. UNIT KEPT FIRING AN ERROR OF "DEVICE BROKEN". OBTAINED DIFFERENT CATHETER FROM THE SAME LOT AND DID NOT EXPERIENCE FURTHER ISSUES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1540968 | MEDTRONIC, INC. | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | MEDTRONIC, INC. | CF7-7-60 | 221780236 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |