FDA Adverse Event
Malfunction
Summary report: N
MERLIN PROGRAMMER
MDR report key: 2240406
·
Received September 9, 2011
Report
- Report Number
- 2017865-2011-05869
- Event Type
- Malfunction
- Date Received
- September 9, 2011
- Date of Event
- May 24, 2011
- Manufacturer
- ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION
- Product Code
- KRG
- PMA / PMN Number
- P030054
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
ALL INFORMATION PROVIDED BY MANUFACTURER, NO MEDWATCH FORM WAS RECEIVED.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING AN IMPLANT; WHEN PERFORMING LEFT VENTRICULAR THRESHOLD TESTING, THE PROGRAMMER FROZE WHILE TEMPORARY PARAMETERS WERE STILL IN OPERATION. THE PROGRAMMER WAS TURNED OFF AND INTERROGATION WAS PERFORMED USING A STERILE SLEEVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MERLIN PROGRAMMER | PACEMAKER PROGRAMMER | KRG | ST JUDE MEDICAL CARDIAC RHYTHM MANAGEMENT DIVISION | 3650 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |