FDA Adverse Event Malfunction Summary report: N

REVEAL LINQ

MDR report key: 5860252 · Received August 9, 2016

Report

Report Number
9614453-2016-05074
Event Type
Malfunction
Date Received
August 9, 2016
Date of Event
April 4, 2016
Report Date
May 11, 2016
Manufacturer
IPG MFG SWITZERLAND
Product Code
DSI
PMA / PMN Number
K132649
Removal / Correction Number
Z-1249-2016
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY - THE DEVICE WAS NOT RETURNED FOR ANALYSIS. HOWEVER, PERFORMANCE DATA COLLECTED FROM THE DEVICE WAS RECEIVED AND ANALYZED. RECOMMENDED REPLACEMENT TIME WAS TRIGGERED ON (B)(6) 2016 DUE TO IMPEDANCE. THE DAILY BATTERY TREND DATA SHOWS GRADUAL RISE OF BATTERY IMPEDANCE. PREMATURE RECOMMENDED REPLACEMENT TIME ALERT, WITHOUT CORRESPONDING BATTERY DEPLETION. THIS DEVICE WAS REPORTED AS INCLUDED IN THE FIELD ACTION. BASED ON THE INFORMATION RECEIVED PERFORMED AND WITHOUT THE RETURN OF THE PRODUCT, IT CANNOT BE CONFIRMED THAT THIS DEVICE AS DESCRIBED IN THE FIELD ACTION. IT IS INCLUDED IN THE FIELD ACTION IN THE ABUNDANCE OF CAUTION.

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 IMPLANTABLE CARDIAC MONITOR (ICM) DEVICE REACHED RECOMMENDED REPLACEMENT TIME (RRT) EARLIER THAN EXPECTED. THE DEVICE REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
515428 REVEAL LINQ DETECTOR AND ALARM, ARRHYTHMIA DSI IPG MFG SWITZERLAND LNQ11

Patients

Seq Age Sex Outcome Treatment
1 68 YR