FDA Adverse Event Injury Summary report: N

ENRHYTHM MRI

MDR report key: 3153709 · Received June 8, 2013

Report

Report Number
9614453-2013-01159
Event Type
Injury
Date Received
June 8, 2013
Report Date
March 22, 2013
Manufacturer
IPG MFG SWITZERLAND
Product Code
NVZ
Removal / Correction Number
Z-1440-2010
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED OUTSIDE THE US WHERE THE SAME MODEL IS DISTRIBUTED. ALL INFORMATION PROVIDED IS INCLUDED IN THIS REPORT. PATIENT INFORMATION IS NOT GENERALLY AVAILABLE DUE TO CONFIDENTIALITY CONCERNS. THIS MODEL NUMBER IS NOT APPROVED FOR DISTRIBUTION IN THE UNITED STATES, HOWEVER, IT IS SAME/SIMILAR TO A DEVICE MARKETED IN THE U.S. (B)(4).

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: THE DEVICE WAS RETURNED AND ANALYZED. ANALYSIS OF THE DEVICE MEMORY FOUND THE ELECTIVE REPLACEMENT INDICATOR IS THE RESULT OF HIGH INTERNAL BATTERY RESISTANCE. THIS DEVICE WAS INCLUDED IN THAT FIELD ACTION AND RETURNED PRODUCT TESTING FOUND THE DEVICE DID PERFORM AS DESCRIBED IN THE FIELD ACTION.

Description of Event or Problem · 1

IT WAS REPORTED THE DEVICE BATTERY DELETED PREMATURELY. THE DEVICE WAS REMOVED AND A NEW DEVICE WAS IMPLANTED. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
254675 ENRHYTHM MRI PULSE GENERATOR, PERMANENT, IMPLANTABLE NVZ IPG MFG SWITZERLAND EMDR01

Patients

Seq Age Sex Outcome Treatment
1 00060 YR Hospitalization| R