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U.S. Department of Health and Human Services

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

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MEDTRONIC, INC.; PULSE GENERATOR, PERMANENT, IMPLANTABLE Back to Search Results
Model Number MDT-IPG
Device Problem Invalid Sensing (2293)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 09/18/2017
Event Type  malfunction  
Manufacturer Narrative
This information is based entirely on journal literature.This event occurred outside the us.All information provided is included in this report.Multiple patients and manufacturers were referenced in the article, but with no manufacturer device/product failure correlation/serial numbers.The gender of the baseline characteristics is female and the baseline age is approximately 69 years old.Possible models include adapta addr and enpulse dr.Since no device id was provided, it is unknown if this event has been previously reported.Request for additional information will be made and upon receipt a supplemental report will be submitted accordingly.The pma number for this report listed is part of a combination of pmas considered the "1-card" and consists of p820003, p850051, p890003, p930022, p970012 and p980035.Referenced article: accuracy of the pacemaker event recorder versus holter-ecg to detect both symptomatic and asymptomatic ventricular arrhythmias.Journal of cardiovascular electrophysiology.2018; 29(1):154-159.Doi: 10.1111/jce.13370.If information is provided in the future, a supplemental report will be issued.
 
Event Description
A journal article was reviewed which contained information regarding implantable pulse generators (ipgs).Multiple patients and multiple manufacturers were noted in the article; however, a one to one correlation could not be made with unique device serial numbers.The study compared the accuracy of the ipg event recorder versus a holter- electrocardiogram (ecg) to detect symptomatic and asymptomatic ventricular arrhythmias.The article reports that ventricular arrhythmias are underestimated by ipg event recordings.The status of the devices is unknown.Further follow up did not yet yield any additional information.
 
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Type of Device
PULSE GENERATOR, PERMANENT, 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
anne schilling
8200 coral sea st ne
mounds view, MN 55112
7635052036
MDR Report Key7477457
MDR Text Key107194011
Report Number2182208-2018-00816
Device Sequence Number1
Product Code NVZ
Combination Product (y/n)N
Reporter Country CodeBR
PMA/PMN Number
1 CARD
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,literatur
Reporter Occupation Physician
Type of Report Initial
Report Date 05/01/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberMDT-IPG
Device Catalogue NumberMDT-IPG
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 04/03/2018
Initial Date FDA Received05/01/2018
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 Age69 YR
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