FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 2972338 · Received February 15, 2013

Report

Report Number
1000165971-2013-00064
Event Type
Malfunction
Date Received
February 15, 2013
Date of Event
January 7, 2013
Report Date
February 1, 2013
Manufacturer
SORIN C.R.M., S.R.L.
Product Code
MRM
PMA / PMN Number
P980049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ON (B)(4) 2013, THIS EVENT CONCERNS A DEVICE THAT WAS MANUFACTURED AND USED OUTSIDE THE UNITED STATES. ANALYSIS IS PENDING.

Description of Event or Problem · 1

UPON ICD INTERROGATION DURING A REGULAR FOLLOW-UP, IT WAS NOTICED THAT SEVERAL ARRHYTHMIA EPISODES WERE CLASSIFIED AS VENTRICULAR FIBRILLATION BY THE IMPLANT. HOWEVER, THE REVIEW OF THESE EPISODES DID NOT REVEAL ANY VF, AND PHYSICIAN SUSPECTED THE PRESENCE OF EXTERNAL NOISE OVERSENSING. AN EXPLANATION IS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69517 PARADYM MRM SORIN C.R.M., S.R.L. PARADYM DR 8550 2391

Patients

Seq Age Sex Outcome Treatment
1