FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 1985500 · Received January 7, 2011

Report

Report Number
1000165971-2011-00012
Event Type
Malfunction
Date Received
January 7, 2011
Date of Event
October 4, 2010
Report Date
December 22, 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
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4), 2011. THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. THE PROGRAMMER FILES WERE REVIEWED. (B)(4).

Description of Event or Problem · 1

THE ICD INVOLVED IN THIS MDR WAS INTERROGATED UPON SCHEDULED FOLLOW-UP ON (B)(6) 2010. THE PHYSICIAN REPORTED THAT HE OBSERVED RECORDED EPISODES OF VENTRICULAR OVERSENSING, CLASSIFIED AS VF / NON-SUSTAINED (EG. (B)(6) 2010 - 20:03).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM MRM SORIN BIOMEDICA C.R.M., S.R.L. PARADYM VR 8250 2427

Patients

Seq Age Sex Outcome Treatment
1