FDA Adverse Event Malfunction Summary report: N

TEO

MDR report key: 16591971 · Received March 22, 2023

Report

Report Number
1000165971-2023-00164
Event Type
Malfunction
Date Received
March 22, 2023
Date of Event
March 14, 2023
Report Date
March 22, 2023
Manufacturer
MICROPORT CRM S.R.L.
Product Code
LWP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
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 MICROPORT CRM THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES.

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 MICROPORT CRM THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES.

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 MICROPORT CRM THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES.

Additional Manufacturer Narrative · 0

A FOLLOW-UP 1 OF THIS MFR REPORT: 1000165971-2023-00164 HAS BEEN SENT BY MISTAKE.

Description of Event or Problem · 0

CRM-SAL-2023-001. THE PACEMAKER WAS IMPLANTED ON (B)(6) 2022. ON (B)(6) 2022, THE BATTERY IMPEDANCE WAS 370OHMS.

Description of Event or Problem · 0

CRM-SAL-2023-001 THE PACEMAKER WAS IMPLANTED ON (B)(6) 2022 ON (B)(6) 2022, THE BATTERY IMPEDANCE WAS 370OHMS.

Description of Event or Problem · 0

CRM-SAL-2023-001: THE PACEMAKER WAS IMPLANTED ON (B)(6) 2022, ON (B)(6) 2022, THE BATTERY IMPEDANCE WAS 370OHMS.

Description of Event or Problem · 0

CRM-SAL-2023-001: THE PACEMAKER WAS IMPLANTED ON (B)(6) 2022, ON (B)(6) 2022, THE BATTERY IMPEDANCE WAS 370OHMS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
436277 TEO IMPLANTABLE PULSE GENERATOR, PACEMAKER (NON-CRT) LWP MICROPORT CRM S.R.L. TEO DR

Patients

Seq Age Sex Outcome Treatment
1 Unknown