FDA Adverse Event Injury Summary report: N

PARADYM

MDR report key: 3873666 · Received June 16, 2014

Report

Report Number
1000165971-2014-00355
Event Type
Injury
Date Received
June 16, 2014
Date of Event
March 14, 2014
Report Date
May 22, 2014
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
MRM
PMA / PMN Number
PP980049
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRELIMINARY ANALYSIS OF THE RETURNED DEVICE CONFIRMED IT OPERATED AS SPECIFIED. THE BATTERY DEPLETION WAS MORE LIKELY DUE TO THE NUMEROUS CHARGES AND SHOCKS DELIVERED IN A SHORT PERIOD.

Description of Event or Problem · 1

REPORTEDLY, THE SUBJECT DEVICE SHOWED AN EARLY BATTERY DEPLETION. IT WILL BE EXPLANTED AND RETURNED FOR ANALYSIS.

Description of Event or Problem · 1

REPORTEDLY, THE SUBJECT DEVICE SHOWED AN EARLY BATTERY DEPLETION. IT WILL BE EXPLANTED AND RETURNED FOR ANALYSIS.

Description of Event or Problem · 1

REPORTEDLY, THE SUBJECT DEVICE SHOWED AN EARLY BATTERY DEPLETION. IT WILL BE EXPLANTED AND RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
352144 PARADYM DEFIBRILLATOR, IMPLANTABLE, DUAL-CHAMBER MRM SORIN GROUP ITALIA S.R.L. - CRM FACILITY PARADYM VR 8250 2751

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention