FDA Adverse Event Injury Summary report: N

PARADYM

MDR report key: 4131525 · Received October 1, 2014

Report

Report Number
1000165971-2014-00555
Event Type
Injury
Date Received
October 1, 2014
Date of Event
September 29, 2014
Report Date
September 29, 2014
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
MRM
PMA / PMN Number
PP060027
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

ON (B)(6) 2014, PRIOR TO DEVICE IMPLANTATION, THE DEVICE WAS REPORTEDLY INTERROGATED IN ITS BOX, SHOWING NORMAL CHARGE TIME TEST AND NORMAL BATTERY STATUS. DURING INTERROGATION AT IMPLANTATION FOLLOWING DEVICE CONNECTION, SEVERAL WARNING MESSAGES WERE DISPLAYED, INDICATING THAT 3 RESETS OCCURRED, AND THAT THE RRT (RECOMMENDED REPLACEMENT TIME) HAD BEEN DETECTED. PATIENT CARE RECOMMENDATIONS WERE PROVIDED. THE DEVICE WAS RE-INTERROGATED ON (B)(6) 2014 AND THE RRT WARNING MESSAGE WAS STILL DISPLAYED. THE DEVICE WAS EXPLANTED ON (B)(6) 2014 AND WILL BE RETURNED FOR EXPERTISE.

Description of Event or Problem · 1

ON (B)(6) 2014, PRIOR TO DEVICE IMPLANTATION, THE DEVICE WAS REPORTEDLY INTERROGATED IN ITS BOX, SHOWING NORMAL CHARGE TIME TEST AND NORMAL BATTERY STATUS. DURING INTERROGATION AT IMPLANTATION FOLLOWING DEVICE CONNECTION, SEVERAL WARNING MESSAGES WERE DISPLAYED, INDICATING THAT 3 RESETS OCCURRED, AND THAT THE RRT (RECOMMENDED REPLACEMENT TIME) HAD BEEN DETECTED. PATIENT CARE RECOMMENDATIONS WERE PROVIDED. THE DEVICE WAS RE-INTERROGATED ON (B)(6) 2014 AND THE RRT WARNING MESSAGE WAS STILL DISPLAYED. THE DEVICE WAS EXPLANTED ON (B)(6) 2014 AND WILL BE RETURNED FOR EXPERTISE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
610241 PARADYM DEFIBRILLATOR, IMPLANTABLE, DUAL-CHAMBER MRM SORIN GROUP ITALIA S.R.L. - CRM FACILITY PARADYM RF DR 9550 2802

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization