FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 2791727 · Received October 15, 2012

Report

Report Number
2182208-2012-03291
Event Type
Malfunction
Date Received
October 15, 2012
Date of Event
August 8, 2012
Manufacturer
MEDTRONIC, INC.
Product Code
KRG
PMA / PMN Number
P890003/S065
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE US. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS. EVALUATION SUMMARY: THE PROGRAMMER WAS RETURNED AND ANALYZED, AND UPON INCOMING INSPECTION THE TOUCH-SCREEN CALIBRATION WAS DETERMINED TO BE OUT OF RANGE.

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE U.S. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PROGRAMMER HAD A "CONFUSING REACTION OF THE CURSOR TO THE TOUCH PEN ON THE SCREEN." TROUBLESHOOTING ATTEMPTS INCLUDING DEMO PROGRAMS, PACER DEVICES, CALIBRATION, AND CHANGING THE TOUCH PEN, WERE UNSUCCESSFUL. THE PROGRAMMER WAS REPLACED AND RETURNED FOR REPAIR. NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE PROGRAMMER WAS RETURNED AND ANALYZED AND TESTED OUT OF SPECIFICATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PROGRAMMER HAD A "CONFUSING REACTION OF THE CURSOR TO THE TOUCH PEN ON THE SCREEN." TROUBLESHOOTING ATTEMPTS WERE UNSUCCESSFUL. THE PROGRAMMER WAS REPLACED AND RETURNED FOR REPAIR. NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 79 YR Other