FDA Adverse Event Malfunction Summary report: N

REVEAL LINQ

MDR report key: 19861289 · Received July 30, 2024

Report

Report Number
2182208-2024-03086
Event Type
Malfunction
Date Received
July 30, 2024
Date of Event
July 1, 2024
Report Date
July 30, 2024
Manufacturer
MEDTRONIC, INC.
Product Code
DSI
PMA / PMN Number
K132649
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS INFORMATION IS BASED ENTIRELY ON JOURNAL LITERATURE. MEDTRONIC WAS MADE AWARE OF THIS EVENT THROUGH A SEARCH OF LITERATURE PUBLICATIONS. THE EVENT ONLY OCCURRED WITH ONE PATIENT BUT SPECIFIC DETAILS ON THE PATIENT WERE NOT PROVIDED. WITHOUT A LOT NUMBER OR DEVICE SERIAL NUMBER, THE MANUFACTURING DATE CANNOT BE DETERMINED. SINCE NO DEVICE ID WAS PROVIDED, IT IS UNKNOWN IF THIS EVENT HAS BEEN PREVIOUSLY REPORTED. A REQUEST FOR ADDITIONAL INFORMATION WAS MADE. IF ADDITIONAL INFORMATION IS OBTAINED REGARDING THIS EVENT, IT WILL BE ADDED, AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY. REFERENCED ARTICLE: INSERTABLE CARDIAC MONITOR MALFUNCTION SECONDARY TO ALEXANDRITE LASER PROCEDURE. JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY CASE REPORTS. 2024; 49:71-2. DOI: 10.1016/J.JDCR.2024.04.044 MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

LITERATURE WAS REVIEWED REGARDING THIS IMPLANTABLE CARDIAC MONITOR (ICM). THE AUTHORS DESCRIBED A PATIENT WHO PRESENTED TO THE CLINIC FOR TREATMENT OF SOLAR LENTIGINES AND FLAT SEBORRHEIC KERATOSES ON THE CHEST WITH A 755 NANOMETER LASER. SHORTLY AFTER, THERE WAS AN ALERT FROM THE REMOTE MONITORING NETWORK THAT THEIR ICM HAD RESET. THE DEVICE WAS "REBOOTED" AND REMAINS IN USE. NO ADVERSE PATIENT EFFECTS OR ADDITIONAL PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
208055 REVEAL LINQ DETECTOR AND ALARM, ARRHYTHMIA DSI MEDTRONIC, INC. LNQ11

Patients

Seq Age Sex Outcome Treatment
1 85 YR Female