FDA Adverse Event
Malfunction
Summary report: N
REPLY
MDR report key: 1831920
·
Received September 7, 2010
Report
- Report Number
- 1000165971-2010-00885
- Event Type
- Malfunction
- Date Received
- September 7, 2010
- Date of Event
- August 20, 2010
- Report Date
- August 20, 2010
- Manufacturer
- SORIN BIOMEDICA CRM S.R.L.
- Product Code
- NVZ
- PMA / PMN Number
- P950029
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
ON (B)(4) 2010. THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. ANALYSIS IS PENDING.
Description of Event or Problem · 1
REPORTEDLY, DURING THE ROUTINE FOLLOW-UP OF THE DEVICE INVOLVED IN THIS REPORT; AIDA (DEVICE MEMORIES) COULD NEITHER BE RED, NOR PROGRAMMED. NORMAL DEVICE OPERATIONS WERE OBSERVED APART FROM THAT EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | REPLY | NVZ | SORIN BIOMEDICA CRM S.R.L. | REPLY DR | 2227 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |