FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 3860583 · Received June 10, 2014

Report

Report Number
2182208-2014-01471
Event Type
Malfunction
Date Received
June 10, 2014
Date of Event
April 16, 2014
Report Date
April 16, 2014
Manufacturer
MEDTRONIC, INC.
Product Code
KRG
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 WAS UNABLE TO CONFIRM THE CUSTOMER COMMENT THAT THE ANALYZER DISPLAYED A MESSAGE REGARDING LOSS OF COMMUNICATION WITH THE PROGRAMMER. THE ANALYZER PASSED FINAL FUNCTIONAL AND SYSTEMS TESTS AND NO ANOMALIES WERE FOUND. CONCOMITANT PRODUCT: PRODUCT ID 2067 RADIOFREQUENCY PROGRAMMER HEAD. (B)(4).

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID 2067 RADIOFREQUENCY PROGRAMMER HEAD. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ANALYZER CONNECTED TO THE PROGRAMMER GENERATED A MESSAGE "LOSS OF COMMUNICATION, RESTART OR END SESSION IF PROBLEM PERSISTS." BOTH THE PROGRAMMER AND THE ANALYZER WERE RETURNED FOR SERVICE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ANALYZER, WHILE CONNECTED TO THE PROGRAMMER GENERATED A MESSAGE "LOSS OF COMMUNICATION, RESTART OR END SESSION IF PROBLEM PERSISTS." BOTH THE PROGRAMMER AND THE ANALYZER WERE RETURNED FOR SERVICE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341728 CARELINK PROGRAMMER, PACEMAKER KRG MEDTRONIC, INC. 229047

Patients

Seq Age Sex Outcome Treatment
1 2090AA4 PROGRAMMER| 2090AA4 PROGRAMMER