FDA Adverse Event Malfunction Summary report: N

REPLY

MDR report key: 2043269 · Received February 25, 2011

Report

Report Number
1000165971-2011-00083
Event Type
Malfunction
Date Received
February 25, 2011
Date of Event
January 25, 2011
Report Date
February 4, 2011
Manufacturer
SORIN C.R.M., S.R.L.
Product Code
NVZ
PMA / PMN Number
P950029
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 MFG AND USED OUTSIDE THE UNITED STATES. ANALYSIS IS PENDING.

Description of Event or Problem · 1

THE PHYSICIAN REPORTED THAT ON (B)(6) 2011, WHEN HE PROGRAMMED THE SMOOTHING FEATURE TO SLOW AND THE AUTO-THRESHOLD TO ON, HE OBSERVED THAT THE SMOOTHING WAS MODIFIED FROM SLOW TO MEDIUM. THE PHYSICIAN ASKED FOR AN EXPLANATION OF THE REPORTED EVENT. PRELIMINARY ANALYSIS HAVE SHOWN THAT THIS BEHAVIOR IS A PROGRAMMING CONSTRAINT DESCRIBED IN THE ONLINE HELP.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1