MERLIN@HOME, RF TELEMETRY BASIC EX1150

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2019-10-21 for MERLIN@HOME, RF TELEMETRY BASIC EX1150 manufactured by St. Jude Medical, Inc.(crm-sylmar).

MAUDE Entry Details

Report Number2017865-2019-15406
MDR Report Key9216742
Report SourceOTHER
Date Received2019-10-21
Date of Report2019-10-21
Date of Event2019-09-26
Date Mfgr Received2019-09-26
Date Added to Maude2019-10-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA3
Event Location3
Manufacturer ContactELIZABETH BOLTZ
Manufacturer Street15900 VALLEY VIEW COURT
Manufacturer CitySYLMAR CA 91342
Manufacturer CountryUS
Manufacturer Postal91342
Manufacturer Phone8184932577
Manufacturer G1ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
Manufacturer Street15900 VALLEY VIEW COURT
Manufacturer CitySYLMAR CA 91342
Manufacturer CountryUS
Manufacturer Postal Code91342
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMERLIN@HOME, RF TELEMETRY BASIC
Generic NamePACEMAKER DATA TRANSMITTER
Product CodeDRG
Date Received2019-10-21
Returned To Mfg2019-09-16
Model NumberEX1150
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerST. JUDE MEDICAL, INC.(CRM-SYLMAR)
Manufacturer Address15900 VALLEY VIEW COURT SYLMAR CA 91342 US 91342


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-21

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.