| Brand Name | MYCARELINK PATIENT MONITOR |
| Common Device Name | 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 |
|
gerard
torenvliet
|
| 8200 coral sea st ne |
| mounds view, MN 55112-4391
|
|
7635269277
|
|
| MDR Report Key | 25775730 |
| Report Number | 2182208-2026-42385 |
| Device Sequence Number | 9608336 |
| Product Code |
NVZ
|
| UDI-Device Identifier | 00763000414047 |
| UDI-Public | (01)00763000414047(11)260123 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | P890003 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Consumer |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/10/2026 |
| 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 |
Lay User/Patient
|
| Device Model Number | 24950M |
| Device Catalogue Number | 24950M |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/19/2026 |
| Initial Report FDA Received Date | 07/10/2026 |
| Date Device Manufactured | 01/23/2026 |
| 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 |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Age | 79 YR |
| Patient Sex | Female |