MAUDE MDR 9903297

MDR report key
9903297
Report number
3004936110-2020-00161
Event key
0
Event type
3
Date of event
2020-03-30
Date received
2020-03-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
STEPHANIE O' SULLIVAN
Address
5050 NATHAN LANE N PLYMOUTH MN 55442 US
Phone
651-651-6517
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CARDIOMEMS PATIENT ELECTRONIC SYSTEMSYSTEM, HEMODYNAMIC, IMPLANTABLEST. JUDE MEDICAL, INC.MOMCM1100CM11007189074R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-310

Event Narratives#

N

Patient 1

THE DEVICE IS INCLUDED IN THE ERROR 5 ADVISORY NOTICE ISSUED BY ABBOTT ON 01 JUNE 2018. THE RESULTS/METHOD AND CONCLUSION CODES ALONG WITH INVESTIGATION RESULTS WILL BE PROVIDED IN A SUBSEQUENT SUBMISSION.

D

Patient 1

IT WAS REPORTED THAT THE PATIENT ELECTRONIC UNIT RECEIVED AN ERROR 5 MESSAGE, WHICH INDICATES AN ISSUE RELATED TO TEMPERATURE AND BAROMETRIC PRESSURE. A REPLACEMENT UNIT MAY RESOLVE THE ISSUE.