FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 2062751 · Received April 19, 2011

Report

Report Number
2182863-2011-00032
Event Type
Malfunction
Date Received
April 19, 2011
Date of Event
March 23, 2011
Report Date
March 23, 2011
Manufacturer
SORIN BIOMEDICA CRM S.R.L.
Product Code
NIK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

APRIL 19, 2011. THE ANALYSIS FROM THE MANUFACTURER IS PENDING.

Additional Manufacturer Narrative · 1

(B)(6) 2011. THE ANALYSIS FROM THE MANUFACTURER IS PENDING. (B)(6) 2011 (B)(4).

Description of Event or Problem · 1

DURING THE IMPLANTATION PROCEDURE, ONCE THE PATIENT WAS INDUCED INTO VF, THE DEVICE DID NOT DELIVER THERAPY. IT WAS REPORTED THAT THE INDUCED RHYTHM WAS PROBABLY BELOW THE LOWEST TACHY ZONE. THE DEVICE WAS NOT IMPLANTED, A COMPETITOR'S DEVICE WAS IMPLANTED INSTEAD.

Description of Event or Problem · 1

DURING THE IMPLANTATION PROCEDURE, ONCE THE PATIENT WAS INDUCED INTO VF, THE DEVICE DID NOT DELIVER THERAPY. IT WAS REPORTED THAT THE INDUCED RHYTHM WAS PROBABLY BELOW THE LOWEST TACHY ZONE. THE DEVICE WAS NOT IMPLANTED, A COMPETITOR'S DEVICE WAS IMPLANTED INSTEAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM IMPLANTABLE CARDIOVERTER DEFIBRILLATOR NIK SORIN BIOMEDICA CRM S.R.L. 8550

Patients

Seq Age Sex Outcome Treatment
1