FDA Adverse Event Malfunction Summary report: N

ENRHYTHM DR

MDR report key: 1990899 · Received February 15, 2011

Report

Report Number
6000144-2011-00788
Event Type
Malfunction
Date Received
February 15, 2011
Date of Event
December 15, 2010
Manufacturer
MEDTRONIC MED REL, INC.
Product Code
DXY
PMA / PMN Number
P980035/S38
Removal / Correction Number
ASKU
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS A QUESTION REGARDING THE ACCEPTABILITY OF LOW BATTERY VOLTAGE ON THE DEVICE DUE TO COLD WEATHER. THE DEVICE WAS FOUND TO BE WITHIN NORMAL LIMITS. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENRHYTHM DR IMPLANTABLE PULSE GENERATOR DXY MEDTRONIC MED REL, INC. P1501DR ASKU

Patients

Seq Age Sex Outcome Treatment
1 Other