Brand Name | CARELINK |
Type of Device | PROGRAMMER, PACEMAKER |
Manufacturer (Section D) |
MEDTRONIC, INC. |
8200 coral sea street ne |
mounds view MN 55112 |
|
Manufacturer (Section G) |
MEDTRONIC CARDIAC RHYTHM HEART FAILURE |
8200 coral sea st ne |
|
mounds view MN 55112 |
|
Manufacturer Contact |
anne
schilling
|
8200 coral sea st ne |
mounds view, MN 55112
|
7635052036
|
|
MDR Report Key | 4499028 |
MDR Text Key | 13195979 |
Report Number | 2182208-2015-00447 |
Device Sequence Number | 1 |
Product Code |
KRG
|
Combination Product (y/n) | N |
Reporter Country Code | JA |
PMA/PMN Number | P890003 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,User Facility,Company Representative,company representati |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup,Followup |
Report Date |
01/07/2015 |
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 |
Health Professional
|
Device Model Number | 2067 |
Device Catalogue Number | 2067 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 12/22/2014 |
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
01/07/2015 |
Initial Date FDA Received | 02/10/2015 |
Supplement Dates Manufacturer Received | Not provided 01/07/2015
|
Supplement Dates FDA Received | 04/09/2015 09/15/2017
|
Was Device Evaluated by Manufacturer? |
Yes
|
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
|
|