| Brand Name | CareLink SmartSync Common App iOS |
| Common Device Name | PACEMAKER/ICD/CRT NON-IMPLANTED COMPONENTS |
| Manufacturer (Section D) |
| Medtronic, Inc. |
| 8200 coral sea street ne |
| mounds view,mn |
|
| Manufacturer (Section G) |
| Medtronic, Inc. |
| 8200 coral sea street ne |
|
| mounds view,mn |
|
| Manufacturer Contact |
|
gerard
torenvliet
|
| 8200 coral sea st ne |
| mounds view, MN 55112--439
|
|
+1(763)526-9277
|
|
| MDR Report Key | 50515697 |
| Report Number | 2182208-2026-50384 |
| Device Sequence Number | 18817215 |
| Product Code |
OSR
|
| Combination Product (Y/N) | N |
| Initial Reporter State | MN |
| Initial Reporter Country | US |
| PMA/510(K) Number | P890003 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/31/2026 |
| 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 |
Health Professional
|
| Device Model Number | M01A02 |
| Device Catalogue Number | M01A02 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 09/29/2023 |
| Initial Report FDA Received Date | 08/31/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| 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 Sex | Unknown |
|
|