BEUDAMED
    FDA Adverse Event Death Summary report: N

    ENRHYTHM

    MDR report key: 2981467 · Received February 27, 2013

    Report

    Report Number
    9614453-2013-00532
    Event Type
    Death
    Date Received
    February 27, 2013
    Date of Event
    August 20, 2011
    Report Date
    February 1, 2013
    Manufacturer
    IPG MFG SWITZERLAND
    Product Code
    NVZ
    PMA / PMN Number
    P980035
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS EVENT OCCURRED OUTSIDE THE U.S. WHERE THE SAME MODEL IS DISTRIBUTED. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS. (B)(4).

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PATIENT, WHO WAS A PARTICIPANT IN THE (B)(4) STUDY, IS DECEASED. THE DEATH OCCURRED THREE YEARS ONE MONTH POST IMPLANT. THE CAUSE OF DEATH IS UNKNOWN. THE PHYSICIAN HAD NO COMPLAINT RELATED TO THE DEVICE. THE ADVERSE EVENT COMMITTEE OF THE STUDY CLASSIFIED THE RELATEDNESS OF THE ADVERSE EVENT TO THE PROCEDURE OR DEVICE AS "UNKNOWN" AND THE DEATH HAS BEEN CLASSIFIED AS "UNKNOWN".

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    84786 ENRHYTHM PULSE GENERATOR, PERMANENT, IMPLANTABLE NVZ IPG MFG SWITZERLAND P1501DR

    Patients

    Seq Age Sex Outcome Treatment
    1 00071 YR Death