FDA Adverse Event Malfunction Summary report: N

ATTAIN COMMAND

MDR report key: 2951844 · Received February 9, 2013

Report

Report Number
9612164-2013-00148
Event Type
Malfunction
Date Received
February 9, 2013
Date of Event
November 6, 2012
Report Date
November 25, 2025
Manufacturer
MEDTRONIC IRELAND
Product Code
DQY
PMA / PMN Number
K080428
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional
N

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. (B)(4).

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CATHETER WAS USED AFTER THE EXPIRATION DATE. THE CATHETER WAS REMOVED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
55733 ATTAIN COMMAND CATHETER, PERCUTANEOUS DQY MEDTRONIC IRELAND 6250S02

Patients

Seq Age Sex Outcome Treatment
1 NA Female