FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 3990826 · Received August 8, 2014

Report

Report Number
2182208-2014-02219
Event Type
Malfunction
Date Received
August 8, 2014
Date of Event
June 27, 2014
Report Date
June 27, 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

THE INFORMATION SUBMITTED REFLECTS ALL RELEVANT DATA RECEIVED. IF ADDITIONAL RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. CONCOMITANT: PRODUCT ID 229047 SOFTWARE ANALYZER. (B)(4).

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: ANALYSIS CONFIRMED THE CUSTOMER COMMENT THAT THE STYLUS PEN WAS NOT TRACKING WITH THE OVERLAY SCREEN AND THEREFORE THE OVERLAY BEZEL ASSEMBLY WAS REPLACED AND THE STYLUS CALIBRATED. CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID 229047 SOFTWARE ANALYZER. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS A PROBLEM WITH THE PROGRAMMER'S TOUCH PEN STYLUS CALIBRATION. 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 THERE WAS A PROBLEM WITH THE PROGRAMMER'S TOUCH PEN STYLUS CALIBRATION. 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
469954 CARELINK PROGRAMMER, PACEMAKER KRG MEDTRONIC, INC. 2090

Patients

Seq Age Sex Outcome Treatment
1 2067 RADIOFREQUENCY PROGRAMMER HEAD| 2067 RADIOFREQUENCY PROGRAMMER HEAD