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 |