FDA Adverse Event Malfunction Summary report: N

KORA

MDR report key: 16547316 · Received March 15, 2023

Report

Report Number
1000165971-2023-00144
Event Type
Malfunction
Date Received
March 15, 2023
Date of Event
February 17, 2023
Report Date
April 5, 2023
Manufacturer
MICROPORT CRM S.R.L.
Product Code
LWP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE UNITED STATES; HOWEVER, IT IS SIMILAR TO A DEVICE MANUFACTURED BY SORIN THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES.

Additional Manufacturer Narrative · 0

PLEASE REFER TO THE ATTACHED ANALYSIS REPORT.

Description of Event or Problem · 0

KORA 100DR COMING FROM A REPLACEMENT WITH VITATRON LEADS IS SHOWING MORE THAN 3000 OHMS OF ATRIAL LEAD IMPEDANCE WHEN PERFORMING THE TEST BUT THE SENSING, AND THE PACING IS COMPLETELY NORMAL AND NO NOISE OR ARTIFACT IS PRESENT AT THE IN CLINIC FOLLOW UP AND THERE IS NO WAY TO REPRODUCE A DISLODGMENT OR NO CONNECTING ISSUE WITH THE PHYSICAL MOVEMENTS. NO TIME UNTIL REPLACEMENT IS SHOWED ONLY IMPEDANCE 0.4 KOHM.

Description of Event or Problem · 0

KORA 100DR COMING FROM A REPLACEMENT WITH VITATRON LEADS IS SHOWING MORE THAN 3000 OHMS OF ATRIAL LEAD IMPEDANCE WHEN PERFORMING THE TEST BUT THE SENSING, AND THE PACING IS COMPLETELY NORMAL AND NO NOISE OR ARTIFACT IS PRESENT AT THE IN CLINIC FOLLOW UP AND THERE IS NO WAY TO REPRODUCE A DISLODGMENT OR NO CONNECTING ISSUE WITH THE PHYSICAL MOVEMENTS. NO TIME UNTIL REPLACEMENT IS SHOWED ONLY IMPEDANCE 0.4 KOHM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
768173 KORA IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT) LWP MICROPORT CRM S.R.L. KORA 100 DR

Patients

Seq Age Sex Outcome Treatment
1 Unknown