FDA Adverse Event Malfunction Summary report: N

CARELINK

MDR report key: 4161688 · Received October 10, 2014

Report

Report Number
2182208-2014-02651
Event Type
Malfunction
Date Received
October 10, 2014
Date of Event
August 20, 2014
Report Date
August 21, 2014
Manufacturer
MEDTRONIC, INC.
Product Code
KRG
PMA / PMN Number
P890003
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE US WHERE THE SAME MODEL IS DISTRIBUTED. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS. PRODUCT EVENT SUMMARY: ANALYSIS CONFIRMED THE REPORTED EVENT, THE TOUCHSCREEN WOULD NOT WORK NORMALLY. AS A RESULT THE TOUCHSCREEN WAS REPLACED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE STYLUS POSITION DID NOT MATCH THE CURSOR POSITION ON THE SCREEN. 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
640064 CARELINK PROGRAMMER, PACEMAKER KRG MEDTRONIC, INC. 2090

Patients

Seq Age Sex Outcome Treatment
1