inforMED
MalfunctionDSA

PATIENT CABLE

Received Mar 28, 2025 · Event occurred Mar 14, 2025

Report 2182208-2025-01568 · MDR key 21717912

Device

Generic name

Cable, Transducer And Electrode, Patient, (inc

Manufacturer

Medtronic, Inc.

Model number

5492AL

Catalog number

5492AL

Lot number

23081410230

Product problems

  • Blocked Connection
  • Material Integrity Problem
  • Blocked Connection
  • Material Integrity Problem

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THERE WAS DIFFICULTY ESTABLISHING A CONNECTION BETWEEN THE PATIENT CABLE AND THE COMPETITOR TEMPORARY PACING LEAD. IT WAS NOTED THAT THE ADAPTER METAL PIN OF THE TEMPORARY PACING LEAD WAS TOO SHORT TO ACHIEVE CONNECTION. ADDITIONALLY, IT WAS NOTED THAT THE SET SCREW OF THE PATIENT CABLE WAS POSITIONED DEEPER, CAUSING AN INADEQUATE GRIP ON THE COMPETITOR ADAPTER METAL PIN WHEN CONNECTING WITH THE PATIENT CABLE. 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.

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.