FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 1628933 · Received March 9, 2010

Report

Report Number
1000165971-2010-00571
Event Type
Malfunction
Date Received
March 9, 2010
Date of Event
February 11, 2010
Report Date
February 18, 2010
Manufacturer
SORIN BIOMEDICA C.R.M., S.R.L.
Product Code
MRM
PMA / PMN Number
P980049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. ANALYSIS IS PENDING.

Description of Event or Problem · 1

THE ICD INVOLVED IN THIS MDR REPORT WAS IMPLANTED ON (B) (6) 2008. UPON A SCHEDULED FOLLOW-UP ON (B) (6) 2010, SOME ISSUES WERE ENCOUNTERED WITH THE PROGRAMMING SYSTEM: THE USER WAS UNABLE TO PRINT WITH ORCHESTRA + PROGRAMMER (SOFTWARE (B) (4)); THE MESSAGE 'PRINTING IN PROGRESS' WAS DISPLAYED PERMANENTLY. THE PROGRAMMER CLOSED DOWN WHEN AN ATTEMPT TO INTERROGATE THE DEVICE WAS MADE. UPON INTERROGATION, A WARNING MESSAGE WAS DISPLAYED TO THE USER: PLEASE REFER TO USER HELP (27). DEVICE WAS REINITIALIZED 1 TIME SINCE BEGINNING OF LIFE. LAST RESET DATE 16.5.08 11:54. IN ADDITION, AN ARRHYTHMIA EPISODE (LABELED AS VENTRICULAR FIBRILLATION, DATED (B) (6) 2010 17:25) WAS STORED IN THE IMPLANT MEMORY AND WAS REPORTEDLY RELATED TO OVERSENSING ("DOUBLE SENSING"); THIS EPISODE WAS NOT TREATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM MRM SORIN BIOMEDICA C.R.M., S.R.L. PARADYM DR 8550 2270

Patients

Seq Age Sex Outcome Treatment
1