FDA Adverse Event Malfunction Summary report: N

REVEAL LINQ

MDR report key: 3991214 · Received August 8, 2014

Report

Report Number
2182208-2014-02177
Event Type
Malfunction
Date Received
August 8, 2014
Date of Event
May 8, 2014
Report Date
May 9, 2014
Manufacturer
MEDTRONIC
Product Code
DSI
PMA / PMN Number
K132649
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN

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. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PHYSICIAN FEELS THAT THE SCALPEL FOR MAKING THE INITIAL INCISION FOR THE IMPLANTABLE CARDIAC MONITOR CREATES A PUNCTURE THAT IS LARGER AND MORE DIFFICULT TO CLOSE THAN IS NECESSARY. THE TOOL WAS DISCARDED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
468013 REVEAL LINQ DETECTOR AND ALARM, ARRHYTHMIA DSI MEDTRONIC LNQ11

Patients

Seq Age Sex Outcome Treatment
1