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 |