MAUDE MDR 8198948

MDR report key
8198948
Report number
3010293992-2018-00124
Event key
0
Event type
3
Date received
2018-12-27
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Contact
MS. JUDITH ANTLER
Address
YAD HARUZIM NETANYA, 42505 IS
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SAPPHIRE EXTERNAL BATTERY PACKEXTERNAL BATTERY PACKQ CORE MEDICAL LTD.MRZ15079-111-0001-P20215Y *

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12018-12-270

Event Narratives#

N

Patient 1

(B)(4).

D

Patient 1

THE EVENT WAS REPORTED BY A CUSTOMER FROM THE USA: EXTERNAL BATTERY PACK OVERHEATING DUE TO POSSIBLE USER ERROR.