FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 1880830 · Received October 1, 2010

Report

Report Number
1000165971-2010-00914
Event Type
Malfunction
Date Received
October 1, 2010
Date of Event
August 24, 2010
Report Date
September 9, 2010
Manufacturer
SORIN BIOMEDICA C.R.M., S.R.L.
Product Code
NIK
PMA / PMN Number
P060027
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 MFG AND USED OUTSIDE THE US. THE DEVICE MODEL INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE US; HOWEVER, IT IS SIMILAR TO PARADYM CRT MODELS APPROVED UNDER P060027. ANALYSIS IS PENDING.

Description of Event or Problem · 1

DURING THE DEVICE INTERROGATION, IT WAS REPORTED THAT NO INFO WAS AVAILABLE FROM DEVICE MEMORY (AIDA).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM NIK SORIN BIOMEDICA C.R.M., S.R.L. PARADYM SONR 8770 2448

Patients

Seq Age Sex Outcome Treatment
1