FDA Adverse Event Malfunction Summary report: N

REPLY

MDR report key: 1960330 · Received December 15, 2010

Report

Report Number
1000165971-2010-01028
Event Type
Malfunction
Date Received
December 15, 2010
Date of Event
December 9, 2010
Report Date
December 9, 2010
Manufacturer
SORIN BIOMEDICA C.R.M., S.R.L.
Product Code
NVZ
PMA / PMN Number
P950029
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

DURING A STANDARD F/U, THE PHYSICIAN WAS NOT ABLE TO ACCESS THE PROGRAMMING PARAMETERS OF THE RV LEAD, WHEREAS ATRIAL ONES WERE ACCESSIBLE. PHYSICIAN HAD TO REBOOT THE PROGRAMMER THEN INTERROGATE THE DEVICE IN ORDER TO BE ABLE TO PROGRAM THE PARAMETERS OF THE RV LEAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REPLY NVZ SORIN BIOMEDICA C.R.M., S.R.L. REPLY DR 2483

Patients

Seq Age Sex Outcome Treatment
1