FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 1873377 · Received September 17, 2010

Report

Report Number
1000165971-2010-00896
Event Type
Malfunction
Date Received
September 17, 2010
Date of Event
August 17, 2010
Report Date
August 23, 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
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2010: THIS EVENT CONCERNS A DEVICE THAT WAS MFG AND USED OUTSIDE THE US. ANALYSIS IS PENDING.

Description of Event or Problem · 1

THE ICD INVOLVED IN THIS MDR REPORT WAS IMPLANTED ON (B)(6) 2010. DURING THE IMPLANT PROCEDURE, VENTRICULAR FIBRILLATION (VF) INDUCTION PROCEDURES WERE PERFORMED. REPORTEDLY, THE NUMBER OF PACING PULSES DELIVERED BEFORE THE SHOCK ON T-WAVE - DURING THE VF INDUCTION PROCEDURES - WAS INADEQUATE (DIFFERENT FROM THE PROGRAMMED VALUE).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM MRM SORIN BIOMEDICA C.R.M., S.R.L. PARADYM DR 8550 2453

Patients

Seq Age Sex Outcome Treatment
1