FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 3990498 · Received August 8, 2014

Report

Report Number
2182208-2014-02244
Event Type
Malfunction
Date Received
August 8, 2014
Date of Event
June 30, 2014
Report Date
June 30, 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

(B)(6). (B)(4).

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: ANALYSIS CONFIRMED THE CUSTOMER COMMENT OF A SMASHED SCREEN AND DAMAGED POWER CORD CABLE (DAMAGED AT CONNECTOR END AND INSULATED WIRES ARE VISIBLE) AND THEREFORE THE BEZEL OVERLAY ASSEMBLY WAS REPLACED, THE STYLUS CALIBRATED AND THE POWER CORD CABLE WAS REPLACED AS WELL. ANALYSIS ALSO FOUND THAT BOTH KEYBOARD HINGES WERE BROKEN AND THE POWER CORD BAY WAS CORRODED, ALL WERE REPLACED. (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 PROGRAMMER HAD A SMASHED SCREEN AND THAT THE POWER CORD REQUIRED REPLACEMENT. FOLLOW-UP DETERMINED THAT THIS WAS DUE TO FRAYED WIRES IN THE CORD. THE PROGRAMMER WAS 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 PROGRAMMER HAD A SMASHED SCREEN AND THAT THE POWER CORD REQUIRED REPLACEMENT. FOLLOW-UP DETERMINED THAT THIS WAS DUE TO FRAYED WIRES IN THE CORD. THE PROGRAMMER WAS 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
468447 CARELINK PROGRAMMER, PACEMAKER KRG MEDTRONIC, INC. 2090

Patients

Seq Age Sex Outcome Treatment
1