BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    REPLY

    MDR report key: 1762975 · Received June 30, 2010

    Report

    Report Number
    1000165971-2010-00783
    Event Type
    Malfunction
    Date Received
    June 30, 2010
    Date of Event
    June 2, 2010
    Report Date
    June 7, 2010
    Manufacturer
    SORIN BIOMEDICA CRM S.R.L.
    Product Code
    NVZ
    PMA / PMN Number
    P950029
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. ANALYSIS IS PENDING.

    Description of Event or Problem · 1

    THE REVIEW OF HEART RATE CURVE FROM PT F/U DATA REVEALED THAT PT WAS PACED AT 60 PPM EVEN THOUGH THE BASIC PACING RATE WAS PROGRAMMED AT 70 PPM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 REPLY NVZ SORIN BIOMEDICA CRM S.R.L. REPLY DR 2340

    Patients

    Seq Age Sex Outcome Treatment
    1