FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 2200697 · Received August 11, 2011

Report

Report Number
2182208-2011-01093
Event Type
Malfunction
Date Received
August 11, 2011
Date of Event
June 9, 2011
Manufacturer
MEDTRONIC, INC.
Product Code
KRG
PMA / PMN Number
P890003/S065
Removal / Correction Number
ASKU
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

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 THE PROGRAMMER DISPLAYED AN ERROR CODE FOLLOWING A REBOOT AFTER THE INSTALLATION OF THE PROTECTA SOFTWARE. THE REP REBOOTED THE PROGRAMMER, AND THE ERROR CLEARED. A LONG BOOT TIME WAS ALSO REPORTED. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARELINK PROGRAMMER KRG MEDTRONIC, INC. 2090 ASKU

Patients

Seq Age Sex Outcome Treatment
1 Other