FDA Adverse Event Malfunction Summary report: N

ORCHESTRA

MDR report key: 2926989 · Received January 18, 2013

Report

Report Number
1000165971-2013-00024
Event Type
Malfunction
Date Received
January 18, 2013
Date of Event
October 30, 2012
Report Date
December 27, 2012
Manufacturer
SORIN C.R.M., S.R.L.
Product Code
KRG
PMA / PMN Number
P980049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

JANUARY 18, 2012. THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE OF THE UNITED STATES. ANALYSIS IS PENDING.

Description of Event or Problem · 1

REPORTEDLY, AN ERROR MESSAGE WAS DISPLAYED AFTER THE PROGRAMMER SOFTWARE WAS UPGRADED TO (B)(4) VERSION. AN EXPLANATION IS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
27350 ORCHESTRA KRG SORIN C.R.M., S.R.L. ORCHESTRA PLUS 0

Patients

Seq Age Sex Outcome Treatment
1