CARELINK SMARTSYNC BASE 24970A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-01-21 for CARELINK SMARTSYNC BASE 24970A manufactured by Plexus Manufacturing Sdn. Bhd.

Event Text Entries

[175834397] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[175834398] It was reported that during a procedure the mobile programmer displayed an error message which occurred when the user was attempting to input the patient birth date and that to resolve the issue the user closed out and restarted the system twice. It was further reported that when attempting to use the analyzing function to conduct a threshold test the mobile programmer shut down. The mobile programmer remains in the field. No patient complications have been reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


[184375136] Product analysis: analysis of the device logs was able to confirm that there was a software problem with the programmer shutting down when ok button was pressed post changing dates in the programmer. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004593495-2020-00048
MDR Report Key9612782
Report SourceHEALTH PROFESSIONAL
Date Received2020-01-21
Date of Report2020-02-11
Date of Event2020-01-07
Date Mfgr Received2020-02-04
Device Manufacturer Date2018-12-07
Date Added to Maude2020-01-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactPAULA BIXBY
Manufacturer Street8200 CORAL SEA ST NE
Manufacturer CityMOUNDS VIEW MN 55112
Manufacturer CountryUS
Manufacturer Postal55112
Manufacturer Phone7635055378
Manufacturer G1PLEXUS MANUFACTURING SDN. BHD
Manufacturer StreetBAYAN LEPAS FREE INDUSTRIAL ZO
Manufacturer CityBAYAN LEPAS 11900
Manufacturer CountryMY
Manufacturer Postal Code11900
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCARELINK SMARTSYNC BASE
Generic NameANALYZER, PACEMAKER GENERATOR FUNCTION
Product CodeDTC
Date Received2020-01-21
Model Number24970A
Catalog Number24970A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPLEXUS MANUFACTURING SDN. BHD
Manufacturer AddressBAYAN LEPAS FREE INDUSTRIAL ZO BAYAN LEPAS 11900 MY 11900


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-21

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