FDA Adverse Event Malfunction Summary report: N

REPLY

MDR report key: 3202212 · Received June 28, 2013

Report

Report Number
1000165971-2013-00322
Event Type
Malfunction
Date Received
June 28, 2013
Date of Event
June 10, 2013
Report Date
June 20, 2013
Manufacturer
SORINGROUP ITALIA S.R.L.
Product Code
NVZ
PMA / PMN Number
P950029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

REPORTEDLY, DURING A FOLLOW-UP PERFORMED ON (B)(6) 2013, THE ONSET OF THE RECORDED ATRIAL BURST EPISODE WAS NOT OBSERVED. AN EXPLANATION IS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
296135 REPLY NVZ SORINGROUP ITALIA S.R.L. REPLY DR 2386

Patients

Seq Age Sex Outcome Treatment
1