FDA Adverse Event Injury Summary report: N

PARADYM

MDR report key: 4062534 · Received September 5, 2014

Report

Report Number
1000165971-2014-00511
Event Type
Injury
Date Received
September 5, 2014
Date of Event
August 7, 2014
Report Date
August 8, 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
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRELIMINARY ANALYSIS OF THE RETURNED DEVICE CONFIRMED IT OPERATED AS SPECIFIED

Description of Event or Problem · 1

SEVERAL EPISODES WITH VENTRICULAR OVERSENSING ARE RECORDED IN DEVICE MEMORIES. THE CARDIOLOGIST HAD SCHEDULED THE REPLACEMENT OF THE LEAD AND THE DEVICE BUT THE PATIENT PASSED AWAY BEFORE OF EXTRA CARDIAC CAUSES.

Description of Event or Problem · 1

SEVERAL EPISODES WITH VENTRICULAR OVERSENSING ARE RECORDED IN DEVICE MEMORIES. THE CARDIOLOGIST HAD SCHEDULED THE REPLACEMENT OF THE LEAD AND THE DEVICE BUT THE PATIENT PASSED AWAY BEFORE OF EXTRA CARDIAC CAUSES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
544819 PARADYM DEFIBRILLATOR, IMPLANTABLE, DUAL-CHAMBER MRM SORIN GROUP ITALIA S.R.L. - CRM FACILITY PARADYM DR 8550 2389

Patients

Seq Age Sex Outcome Treatment
1 Death