ENSITE VELOCITY? SYSTEM NAVLINK 100003063

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-02-17 for ENSITE VELOCITY? SYSTEM NAVLINK 100003063 manufactured by St. Jude Medical, Inc..

Event Text Entries

[181184551] Investigation results will be provided in a subsequent submission.
Patient Sequence No: 1, Text Type: N, H10


[181184552] When starting the case, the connector of the navlink was broken and the case was cancelled. Attempts to connect it were unsuccessful and the case was rescheduled.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2184149-2020-00024
MDR Report Key9717637
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-02-17
Date of Report2020-03-20
Date of Event2020-02-12
Date Mfgr Received2020-03-18
Device Manufacturer Date2019-07-11
Date Added to Maude2020-02-17
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 ContactSTEPHANIE O' SULLIVAN
Manufacturer Street5050 NATHAN LANE NORTH
Manufacturer CityPLYMOUTH MN 55442
Manufacturer CountryUS
Manufacturer Postal55442
Manufacturer Phone6517565400
Manufacturer G1ST. JUDE MEDICAL, INC.
Manufacturer StreetONE ST. JUDE MEDICAL DRIVE
Manufacturer CityST. PAUL MN 55117
Manufacturer CountryUS
Manufacturer Postal Code55117
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameENSITE VELOCITY? SYSTEM NAVLINK
Generic NameCOMPUTER, DIAGNOSTIC, PROGRAMMABLE
Product CodeDQK
Date Received2020-02-17
Model Number100003063
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerST. JUDE MEDICAL, INC.
Manufacturer AddressONE ST. JUDE MEDICAL DRIVE ST. PAUL MN 55117 US 55117


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-17

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