FDA Adverse Event Malfunction Summary report: N

OSYPKA MEDICAL PACE 203

MDR report key: 23850341 · Received December 19, 2025

Report

Report Number
9681449-2025-00004
Event Type
Malfunction
Date Received
December 19, 2025
Date of Event
November 27, 2025
Report Date
December 18, 2025
Manufacturer
OSYPKA MEDICAL GMBH
Product Code
DTE
UDI-DI
04260451441128
PMA / PMN Number
K020896
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

WE HAVE RECEIVED THE DEVICE FOR EVALUATION ON 2025-12-09. DURING INITIAL VISUAL INSPECTION AND FUNCTIONAL TEST NO NONCONFORMITIES COULD BE IDENTIFIED WHICH WOULD EXPLAIN THE REPORTED BEHAVIOR. THE PACEMAKER WORKED ACCORDING TO ITS SPECIFICATION. ALSO, THE TEST RECORDS OF THE FINAL TEST DURING PRODUCTION HAS BEEN REVIEWED WITHOUT ANY FINDINGS. THE PACEMAKER PASSED ALL TESTS DURING PRODUCTION INCL. THE FINAL COMPETE SAFETY AND FUNCTIONAL TEST. SINCE THE REPORTED BEHAVIOR COULD NOT BE REPRODUCED DURING INITIAL EVALUATION, THE DEVICE WAS SUBJECTED TO A LONG-TERM TEST. AN ATTEMPT WAS MADE TO PROVOKE THE DESCRIBED DEFECT OVER A PERIOD OF 160 HOURS UNDER THERMAL CYCLING IN A CLIMATE CHAMBER. THE PACEMAKER RAN WITHOUT INTERRUPTIONS AND SHOWED NO SIGNS OF A DEFECT. IT CANNOT BE EXCLUDED THAT A DEPLETED BATTERY CAUSED THE SHUTDOWN WHEN THE LOW BATTERY ALARM WAS NOT RECOGNIZED BY THE USER. ALSO, A HIDDEN DEFECT ON THE PRINTED CIRCUIT BOARDS CAN NOT BE EXCLUDED. FOR THIS REASON, THE REPLACE OF THE ELECTRONIC BOARDS WILL BE SUGGESTED TO THE CUSTOMER AS PRECAUTION MEASURE.

Description of Event or Problem · 0

WE HAVE RECEIVED THE FOLLOWING REPORT FROM THE (B)(6) - SWEDISH MEDICAL PRODUCT AGENCY: THE DEVICE TURNED OFF SPONTANEOUSLY AND COULD NOT BE RESTARTED UNTIL IT RECEIVED A NEW BATTERY. ON TWO CHECKS DURING THE HOUR BEFORE, THE BATTERY INDICATOR SHOWED THAT THE BATTERY WAS FULL. THE DEVICE IS SUPPOSED TO ALARM WHEN THE BATTERY IS EMPTY AND IS THEN POWERED BY A BACK-UP CAPACITOR. IN THE CURRENT CASE, THE DEVICE HAS NEITHER ALARMED WHEN THE BATTERY WAS LOW NOR WHEN THE BATTERY WAS EMPTY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2423932 OSYPKA MEDICAL PACE 203 PULSE-GENERATOR, PACEMAKER, EXTERNAL DTE OSYPKA MEDICAL GMBH PACE 203 04260451441128

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other