FDA Adverse Event Malfunction Summary report: N

REPLY

MDR report key: 5123091 · Received October 2, 2015

Report

Report Number
1000165971-2015-00580
Event Type
Malfunction
Date Received
October 2, 2015
Date of Event
September 8, 2015
Report Date
September 8, 2015
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
NVZ
PMA / PMN Number
PP950029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

DURING THE FIRST FOLLOW-UP ON (B)(6) 2015, THE REMAINING LONGEVITY OF THE PACEMAKER WAS 5,5 YEARS, WITH AROUND 100% OF V PACING AND 55% OF A PACING. THE IMPLANT MANUAL GIVES A LONGEVITY OF 6,1 YEARS WITH 100% OF V PACING AND A PACING. PHYSICIAN SUSPECTS AN ISSUE WITH DEVICE. PRELIMINARY ANALYSIS SHOWS THAT THE REMAINING LONGEVITY ESTIMATION IS CONSISTENT WITH THE PARAMETERS PROGRAMMING OF THIS DEVICE.

Description of Event or Problem · 1

DURING THE FIRST FOLLOW-UP ON (B)(6) 2015, THE REMAINING LONGEVITY OF THE PACEMAKER WAS 5,5 YEARS, WITH AROUND 100% OF V PACING AND 55% OF A PACING. THE IMPLANT MANUAL GIVES A LONGEVITY OF 6,1 YEARS WITH 100% OF V PACING AND A PACING. PHYSICIAN SUSPECTS AN ISSUE WITH DEVICE. PRELIMINARY ANALYSIS SHOWS THAT THE REMAINING LONGEVITY ESTIMATION IS CONSISTENT WITH THE PARAMETERS PROGRAMMING OF THIS DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
657047 REPLY PULSE GENERATOR, PERMANENT, IMPLANTABLE NVZ SORIN GROUP ITALIA S.R.L. - CRM FACILITY REPLY DR S0070

Patients

Seq Age Sex Outcome Treatment
1