FDA Adverse Event Injury Summary report: N

SYMPHONY

MDR report key: 1034138 · Received April 23, 2008

Report

Report Number
2182863-2008-00024
Event Type
Injury
Date Received
April 23, 2008
Date of Event
March 24, 2008
Report Date
April 23, 2008
Manufacturer
ELA MEDICAL, S.A.S.
Product Code
DXY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

SINCE THE DEVICE WAS NOT RETURNED, THE PRODUCTION HISTORY AND STERILIZATION RECORDS WERE REVIEWED. THE RECORDS SHOWED THAT THE DEVICE WAS MANUFACTURED, STERILIZED AND RELEASED ACCORDING TO APPLICABLE STANDARD OPERATING PROCEDURES. DATE ANALYSIS/INVESTIGATION COMPLETED: 04/01/08. DEVICES SOLD AND LABELLED AS STERILE ARE MANUFACTURED, STERILIZED AND RELEASED ACCORDING TO APPLICABLE STANDARD OPERATING PROCEDURES. MANUFACTURING DATA FOR THE PACEMAKER IN OBJECT: MANUFACTURING DATE: JULY 11, 2006. USE BEFORE DATE: FEB 11, 2008. STERILIZATION LOT NUMBER: M060728. MOREOVER, IT SHOULD BE NOTED THAT INFECTION IS A WELL-KNOWN COMPLICATION OF CARDIAC PACING/DEFIBRILLATION SYSTEMS, AND THIS HAS ALREADY BEEN DESCRIBED IN THE LITERATURE. SEE SCANNED PAGE.

Description of Event or Problem · 1

AFTER 18+ MONTHS OF IMPLANTATION, THIS PACEMAKER WAS EXPLANTED BECAUSE OF AN INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYMPHONY CARDIAC PACEMAKER DXY ELA MEDICAL, S.A.S. 2550 M060728

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R