inforMED
MalfunctionDXY

KAPPA 900 DR

Received Dec 9, 2016 · Event occurred Sep 26, 2016

Report 2647346-2016-00031 · MDR key 6162477

Device

Generic name

Pulse-generator, Pacemaker, Implantable

Model number

KDR901

Catalog number

KDR901

Product problems

  • Failure to Interrogate
  • Failure to Interrogate

Patient

28 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem

IT WAS REPORTED THAT THE CLINICIAN WAS UNABLE TO INTERROGATE THE PATIENT'S IMPLANTABLE PULSE GENERATOR (IPG), EVEN USING TWO DIFFERENT PROGRAMMERS. NO ADDITIONAL INFORMATION COULD BE OBTAINED AFTER SEVERAL FOLLOW-UP ATTEMPTS. THE DEVICE REMAINS IN USE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Additional Manufacturer Narrative

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.