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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Medtronic, Inc. Carelink Programmer; PROGRAMMER, PACEMAKER

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Medtronic, Inc. Carelink Programmer; PROGRAMMER, PACEMAKER Back to Search Results
Model Number 2090W
Medical Device Problem Code Unexpected Shutdown (4019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the programmer powered on without the radiofrequency(rf) head being connected and operated normally.When the rf head was connected, the programmer immediately powered off.The power switch was cycled with the rf head remaining connected; however, the programmer did not power on.The power cord was verified to be securely connected.The rf head was then disconnected, after which the programmer powered on and functioned normally.A different rf head was subsequently connected to the programmer, and the programmer continued to operate normally without powering off.There was no patient involvement.
 
Additional Manufacturer Narrative
Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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Brand Name
Carelink Programmer
Common Device Name
PROGRAMMER, PACEMAKER
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--439
+1(763)526-9277
MDR Report Key50517300
Report Number2182208-2026-50443
Device Sequence Number10693903
Product Code KRG
UDI-Device Identifier00613994127631
UDI-Public(01)00613994127631(11)020510
Combination Product (Y/N)N
Initial Reporter StateMN
Initial Reporter CountryUS
PMA/510(K) Number
P890003
Number of Events Summarized1
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 Other
Device Model Number2090W
Device Catalogue Number2090W
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 08/03/2026
Initial Report FDA Received Date08/31/2026
Date Device Manufactured05/10/2002
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 Number1
Concomitant Medical Products
and Therapy/Usage Dates
2067 RF HEAD
Patient SexUnknown
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