FDA Adverse Event
Malfunction
Summary report: N
PARADYM CRT
MDR report key: 1556531
·
Received December 7, 2009
Report
- Report Number
- 1000165971-2009-00077
- Event Type
- Malfunction
- Date Received
- December 7, 2009
- Date of Event
- November 2, 2009
- Report Date
- November 13, 2009
- Manufacturer
- SORIN BIOMEDICA CRM S.R.L.
- Product Code
- NIK
- PMA / PMN Number
- P060027
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
(B) (4). THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. THE DEVICE MODEL INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE U.S.; HOWEVER, IT IS SIMILAR TO OVATIO CRT MODEL APPROVED UNDER P060027. (B) (4) - RECORDED EPISODES COULD NOT BE FOUND IN DEVICE MEMORY, AS EXPECTED. THE ANALYSIS IS PENDING.
Description of Event or Problem · 1
DURING THE DEVICE ROUTINE FOLLOW-UP, THERE WAS A CRASH OF THE PROGRAMMER SOFTWARE DURING MEMORIES READING. LATER, NO RECORDED EPISODES COULD BE RETRIEVED FROM DEVICE MEMORIES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PARADYM CRT | NIK - DEFIBRILLATOR, AUTOMATIC IMPLANTABLE CARDIOVERTER, WITH CARDIAC RESYNCHRON | NIK | SORIN BIOMEDICA CRM S.R.L. | 8770 | 2295 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |