FDA Adverse Event
Malfunction
Summary report: N
ORCHESTRA
MDR report key: 6680530
·
Received June 30, 2017
Report
- Report Number
- 1000165971-2017-00526
- Event Type
- Malfunction
- Date Received
- June 30, 2017
- Date of Event
- June 2, 2017
- Report Date
- June 7, 2017
- Manufacturer
- SORIN GROUP ITALIA S.R.L. - CRM FACILITY
- Product Code
- MRM
- PMA / PMN Number
- P980049
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE SUBJECT PROGRAMMER FOLLOWED THE NORMAL REPAIR WORKFLOW AND WAS RETURNED BACK TO THE FIELD.
Additional Manufacturer Narrative · 1
(B)(4).
Description of Event or Problem · 1
REPORTEDLY, THE PROGRAMMER INTERMITTENTLY GOES INTO A BOOT LOOP DURING INTERROGATION AND IS NOT USABLE.
Description of Event or Problem · 1
REPORTEDLY, THE PROGRAMMER INTERMITTENTLY GOES INTO A BOOT LOOP DURING INTERROGATION AND IS NOT USABLE.
Description of Event or Problem · 1
REPORTEDLY, THE PROGRAMMER INTERMITTENTLY GOES INTO A BOOT LOOP DURING INTERROGATION AND IS NOT USABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 460964 | ORCHESTRA | PROGRAMMER, PACEMAKER | MRM | SORIN GROUP ITALIA S.R.L. - CRM FACILITY | ORCHESTRA PLUS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |