FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 1812513 · Received August 17, 2010

Report

Report Number
1000165971-2010-00867
Event Type
Malfunction
Date Received
August 17, 2010
Date of Event
July 9, 2010
Report Date
July 21, 2010
Manufacturer
SORIN BIOMEDICA C.R.M., S.R.L.
Product Code
MRM
PMA / PMN Number
P980049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2010 - THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURERED AND USED OUTSIDE THE UNITED STATES. ANALYSIS IS PENDING.

Description of Event or Problem · 1

THE ICD INVOLVED IN THIS MDR WAS INTERROGATED ON (B)(6) 2010. UPON INTERROGATION, IMPLANT SOFTWARE UPDATE PROCEDURE WAS SUSPENDED. RESET OF THE HOLTER MEMORIES WAS RECOMMENDED BY THE SORIN ENGINEER, SOLVING THE ISSUE.

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 2360

Patients

Seq Age Sex Outcome Treatment
1