inforMED
MalfunctionDSA

PATIENT CABLE

Received Jun 26, 2024 · Event occurred Jun 14, 2024

Report 2182208-2024-02593 · MDR key 19613436

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Product code (DSA)
Manufacturer (Medtronic, Inc.)
Model (5492AL)

Device

Generic name

Cable, Transducer And Electrode, Patient, (inc

Manufacturer

Medtronic, Inc.

Model number

5492AL

Catalog number

5492AL

Lot number

2209198

Product problems

  • Material Integrity Problem
  • Material Integrity Problem

Patient

71 YR · Male

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT CABLE CONNECTOR WAS LOOSE LEADING TO NO PACING.NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

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.