FDA Adverse Event
Injury
Summary report: N
PULSE GENERATOR, PERMANENT, IMPLANTABLE
MDR report key: 23248280
·
Received October 8, 2025
Report
- Report Number
- MW5177079
- Event Type
- Injury
- Date Received
- October 8, 2025
- Report Date
- September 22, 2025
- Manufacturer
- MICROPORT / SORIN CRM SAS
- Product Code
- NVZ
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THIS DEVICE WAS EXPLANTED DUE TO INFECTION AND EROSION. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2586296 | PULSE GENERATOR, PERMANENT, IMPLANTABLE | PULSE GENERATOR, PERMANENT, IMPLANTABLE | NVZ | MICROPORT / SORIN CRM SAS | TPM014J |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |