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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC, INC. MEDTRONIC; PULSE-GENERATOR, PACEMAKER, IMPLANTABLE

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MEDTRONIC, INC. MEDTRONIC; PULSE-GENERATOR, PACEMAKER, IMPLANTABLE Back to Search Results
Model Number MDT-UNKNOWN
Device Problems Failure to Charge (1085); Impedance Problem (2950); Protective Measures Problem (3015); Reset Problem (3019)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 04/30/2020
Event Type  Injury  
Manufacturer Narrative
This information is based entirely on journal literature.Medtronic was made aware of this event through a search of literature publications.This event occurred outside the us.Patient information is limited due to confidentiality concerns.Of note, multiple patients and multiple manufacturers were noted in the article; however, a one to one correlation could not be made with unique product lot/serial numbers.There is no specific model listed.Since no device id was provided, it is unknown if this event has been previously reported.A request for additional information will be made and upon receipt a supplemental report will be submitted accordingly.Referenced article: "cardiac implantable electronic device remote monitoring in a large cohort of patients and the need of planning." future cardiology.2020.Doi: 10.2217/fca-2019-0039.If information is provided in the future, a supplemental report will be issued.
 
Event Description
A journal article was reviewed that contained information regarding cardiac implantable electronic device remote monitoring.The article reports patients who received alerts for electrical resets, charge circuit timeouts, excessive charge time with end of service, and ventricular defibrillation impedance out of range which required hospitalizations and/or reprogramming.The status/disposition of the devices is unknown.No further patient complications have been reported as a result of this event.Further follow up did not yet yield any additional information.
 
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Brand Name
MEDTRONIC
Type of Device
PULSE-GENERATOR, PACEMAKER, IMPLANTABLE
Manufacturer (Section D)
MEDTRONIC, INC.
8200 coral sea street ne
mounds view MN 55112
Manufacturer (Section G)
MEDTRONIC, INC.
8200 coral sea street ne
mounds view MN 55112
Manufacturer Contact
paula bixby
8200 coral sea st ne
mounds view, MN 55112
7635055378
MDR Report Key10757960
MDR Text Key214086073
Report Number2182208-2020-02591
Device Sequence Number1
Product Code DXY
Combination Product (y/n)N
Reporter Country CodeIT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Reporter Occupation Physician
Type of Report Initial
Report Date 10/29/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/29/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberMDT-UNKNOWN
Device Catalogue NumberMDT-UNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/19/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
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