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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MERLIN¿ 2 PATIENT CARE SYSTEM (PCS) PROGRAMMER; PROGRAMMER, PACEMAKER

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ABBOTT MERLIN¿ 2 PATIENT CARE SYSTEM (PCS) PROGRAMMER; PROGRAMMER, PACEMAKER Back to Search Results
Model Number MER3700
Medical Device Problem Code Incorrect Measurement (1383)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/23/2022
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the programmer exhibited an incorrect longevity estimate because of a battery longevity calculation overestimation.No patient complications have been reported as a result of this event.
 
Additional Manufacturer Narrative
This report is being submitted for the programmer as a part of the programmer longevity estimator software error field action (fda recall number: fa-q222-crm1) set of complaints.Should any additional information be obtained, a supplemental report will be issued.
 
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Brand Name
MERLIN¿ 2 PATIENT CARE SYSTEM (PCS) PROGRAMMER
Common Device Name
PROGRAMMER, PACEMAKER
Manufacturer (Section D)
ABBOTT
15900 valley view court
sylmar CA 91342
Manufacturer (Section G)
ABBOTT
15900 valley view court
sylmar CA 91342
Manufacturer Contact
sonali arangil
15900 valley view court
sylmar, CA 91342
MDR Report Key15403215
Report Number2017865-2022-22464
Device Sequence Number6102797
Product Code OSR
UDI-Device Identifier05415067031174
UDI-Public05415067031174
Combination Product (Y/N)N
Initial Reporter CountrySZ
PMA/510(K) Number
P910023
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Remedial Action Recall
Type of Report Initial,Followup
Report Date (Section B) 12/01/2022
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
Operator of Device Health Professional
Device Model NumberMER3700
Device Catalogue NumberMER3700
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/29/2022
Supplement Date Received by Manufacturer11/28/2022
Initial Report FDA Received Date09/12/2022
Supplement Report FDA Received Date12/01/2022
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
FA-Q222-CRM1
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
ACCENT MRI DR RF
Patient SexUnknown
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