FDA Adverse Event
Malfunction
Summary report: N
SYNCHROMED II
MDR report key: 2322647
·
Received October 13, 2011
Report
- Report Number
- 3007566237-2011-08868
- Event Type
- Malfunction
- Date Received
- October 13, 2011
- Date of Event
- September 8, 2011
- Report Date
- October 12, 2011
- Manufacturer
- MEDTRONIC NEUROMODULATION
- Product Code
- LKK
- PMA / PMN Number
- P860004
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
(B)(4). FINAL ANALYSIS OF THE PUMP REVEALED BATTERY RESISTANCE HIGH. PER ANALYSIS, 'IN HOUSE BATTERY TESTER PAR 273A REPORTS R=422 OHMS. = (-2.86V - -0.747V) / (0.00002A - 0.00502A) OCV = 3.02".
Description of Event or Problem · 1
IT WAS REPORTED THAT THE DEVICE WAS REPLACED. THE DEVICE WAS RETURNED FOR DISPOSAL. NO PT SYMPTOMS WERE REPORTED. THE PUMP WAS USED TO DELIVER LIORESAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SYNCHROMED II | LKK | MEDTRONIC NEUROMODULATION | 863740 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 24 YR | EXPLANTED:| IMPLANTED:| CATHETER: MODEL 8709, LOT# N077234009 |