FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 2833463 · Received October 26, 2012

Report

Report Number
1000165971-2012-00412
Event Type
Malfunction
Date Received
October 26, 2012
Date of Event
October 11, 2012
Report Date
October 17, 2012
Manufacturer
SORIN CRM S.R.L.
Product Code
MRM
PMA / PMN Number
P980049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2012: THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. ANALYSIS PENDING.

Description of Event or Problem · 1

REPORTEDLY, DURING A SCHEDULED FOLLOW-UP PERFORMED ON (B)(6) 2012, A STRANGE UNEXPECTED BATTERY CURVE WAS OBSERVED. AN EXPLANTATION IS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PARADYM MRM SORIN CRM S.R.L. PARADYM VR 8250 2587

Patients

Seq Age Sex Outcome Treatment
1