FDA Adverse Event Malfunction Summary report: N

PARADYM 2

MDR report key: 3980157 · Received August 5, 2014

Report

Report Number
1000165971-2014-00442
Event Type
Malfunction
Date Received
August 5, 2014
Date of Event
July 15, 2014
Report Date
July 15, 2014
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
MRM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE MODEL INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE U.S.; HOWEVER, IT IS SIMILAR TO PARADYM RF DR MODELS APPROVED UNDER P980049.

Description of Event or Problem · 1

REPORTEDLY, DURING SCHEDULED FOLLOW-UP OF THE SUBJECT ICD ON (B)(6) 2014, THE ORCHESTRA PROGRAMMER SCREEN FROZE; THE PROGRAMMER HAD TO BE UNPLUGGED AND REBOOTED TO RESUME THE FOLLOW-UP. AN EXPLANATION IS REQUESTED.

Description of Event or Problem · 1

REPORTEDLY, DURING SCHEDULED FOLLOW-UP OF THE SUBJECT ICD ON (B)(6) 2014, THE ORCHESTRA PROGRAMMER SCREEN FROZE; THE PROGRAMMER HAD TO BE UNPLUGGED AND REBOOTED TO RESUME THE FOLLOW-UP. AN EXPLANATION IS REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
457807 PARADYM 2 MRM SORIN GROUP ITALIA S.R.L. - CRM FACILITY PARADYM 2 DR 8552 2809

Patients

Seq Age Sex Outcome Treatment
1