FDA Adverse Event Injury Summary report: N

PARADYM

MDR report key: 1800915 · Received August 10, 2010

Report

Report Number
1000165971-2010-00865
Event Type
Injury
Date Received
August 10, 2010
Date of Event
July 27, 2010
Report Date
August 2, 2010
Manufacturer
SORIN BIOMEDICA C.R.M., S.R.L.
Product Code
MRM
PMA / PMN Number
P980049
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

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

REPORTEDLY, THE ICD INVOLVED IN THIS MDR REPORT REVEALED LONG CHARGE TIME DURING TESTS BEFORE THE IMPLANTATION (36 SECONDS AND 26 SECONDS). THE ICD WAS NOT IMPLANTED AND WAS RETURNED FOR ANALYSIS. ANOTHER PARADYM ICD WAS SUCCESSFULLY IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM MRM SORIN BIOMEDICA C.R.M., S.R.L. PARADYM CRT 8750 2448

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization