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 |