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 |