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