BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SYNCHROMED II

    MDR report key: 3200020 · Received July 1, 2013

    Report

    Report Number
    3007566237-2013-01018
    Event Type
    Malfunction
    Date Received
    July 1, 2013
    Date of Event
    May 25, 2005
    Report Date
    May 25, 2005
    Manufacturer
    MEDTRONIC NEUROMODULATION
    Product Code
    LKK
    PMA / PMN Number
    P860004
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A MOTOR STALL OCCURRED DURING A PUMP INTERROGATION DUE TO USE OF PROGRAMMER MAGNET. THE DEVICE SYSTEM WAS USED TO DELIVER AN UNKNOWN DRUG. NO FURTHER INFORMATION WAS AVAILABLE AS OF THE DATE OF THIS REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    297928 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION 8637

    Patients

    Seq Age Sex Outcome Treatment
    1