FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 1881155 · Received October 1, 2010

Report

Report Number
1000165971-2010-00915
Event Type
Malfunction
Date Received
October 1, 2010
Date of Event
September 2, 2010
Report Date
September 9, 2010
Manufacturer
SORIN BIOMEDICA CRM 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

(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

THE INITIAL DEVICE INTERROGATION DURING SCHEDULED FOLLOW-UP (ON (B)(6) 2010) WAS INTERRUPTED AND SOME ERROR MESSAGE(S) RELATED TO COMMUNICATION PROBLEM WAS/WERE DISPLAYED. HOWEVER, A SECOND INTERROGATION COULD BE PERFORMED SUCCESSFULLY; NEVERTHELESS, NO DATA WAS AVAILABLE IN THE DEVICE'S MEMORIES ((B)(4)).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM MRM SORIN BIOMEDICA CRM S.R.L. PARADYM CRT 8750 2366

Patients

Seq Age Sex Outcome Treatment
1