FDA Adverse Event Malfunction Summary report: N

REPLY

MDR report key: 1800098 · Received August 10, 2010

Report

Report Number
1000165971-2010-00864
Event Type
Malfunction
Date Received
August 10, 2010
Date of Event
July 21, 2010
Report Date
July 30, 2010
Manufacturer
SORIN BIOMEDICA CRM S.R.L.
Product Code
NVZ
PMA / PMN Number
P950029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
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 REPLY DR OR SR MODELS APPROVED UNDER P950029. ANALYSIS IS PENDING.

Description of Event or Problem · 1

REPORTEDLY, THE VENTRICULAR LEAD IMPEDANCE CURVE RECORDED IN DEVICE MEMORY SHOWED HIGH IMPEDANCE (> 3 KOHM). HOWEVER, DURING THE LATEST FOLLOW-UP ON (B)(6) 2010, NORMAL MEASUREMENT WAS OBTAINED. THE ATRIAL LEAD IMPEDANCE CURVE ALSO SHOWED SOME HIGH IMPEDANCES VALUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REPLY NVZ SORIN BIOMEDICA CRM S.R.L. REPLY VDR 2373

Patients

Seq Age Sex Outcome Treatment
1