FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 3153549 · Received June 8, 2013

Report

Report Number
2182208-2013-01445
Event Type
Malfunction
Date Received
June 8, 2013
Date of Event
March 25, 2013
Report Date
March 25, 2013
Manufacturer
MEDTRONIC, INC.
Product Code
DXY
PMA / PMN Number
P890003
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: ANALYSIS CONFIRMED THE ERROR WHEN INTERROGATED AN IMPLANTABLE CARDIAC DEVICE. AS A RESULT THE HARD DRIVE WAS RECONFIGURED AND THE SOFTWARE WAS RELOADED. IT WAS ALSO NOTED THAT THE SYSTEM FAN WAS NOISY. (B)(4).

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).

Description of Event or Problem · 1

IT WAS REPORTED THE PROGRAMMER WAS "ACTING UP," AFTER DOING A SOFTWARE UPGRADE VIA USB (UNIVERSAL SERIAL BUS). INTERROGATION OF A DEVICE WAS ATTEMPTED, AND AN ERROR MESSAGE WAS RECEIVED. THE PROGRAMMER RF (RADIO-FREQUENCY) HEAD WAS DISCONNECTED AND POWER CYCLED, BUT THE SAME ISSUE OCCURRED. THE SERVICE DISK WAS ATTEMPTED WITHOUT SUCCESS. ANOTHER PROGRAMMER WAS USED TO DO THE SESSION. THE PROGRAMMER WAS SUBSEQUENTLY RETURNED WITH INFORMATION STATING THE PROGRAMMER WOULD NOT INTERROGATE ANY DEVICE AFTER DOING THE SOFTWARE UPGRADE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
258538 CARELINK PULSE-GENERATOR, PACEMAKER, IMPLANTABLE DXY MEDTRONIC, INC. 2090

Patients

Seq Age Sex Outcome Treatment
1 2067 PROGRAMMER RF (RADIO-FREQUENCY) HEAD