FDA Adverse Event Malfunction Summary report: N

SYMPHONY

MDR report key: 6700090 · Received July 11, 2017

Report

Report Number
1000165971-2017-00552
Event Type
Malfunction
Date Received
July 11, 2017
Date of Event
June 19, 2017
Report Date
June 19, 2017
Manufacturer
SORIN CRM
Product Code
NVY
PMA / PMN Number
P950029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PLEASE REFER TO THE ATTACHED ANALYSIS REPORT.

Description of Event or Problem · 1

REPORTEDLY, ON (B)(6) 2017, THE DEVICE WAS INTERROGATED DURING ROUTINE FOLLOW-UP. BATTERY LONGEVITY WAS 48 MONTHS AT BEGINNING OF SESSION (BATTERY IMPEDANCE WAS 3.09 KOHM AND MAGNET RATE WAS 95). NO HIGH OUTPUTS WERE PROGRAMMED. COMPARING TO PREVIOUS FOLLOW-UPS, LONGEVITY WAS INCREASED: 105 MONTHS ON (B)(6) 2015, 32 MONTHS ON (B)(6) 2015 AND 24 MONTHS (BATTERY IMPEDANCE 2, 7 KOHM AND 96 MAGNET RATE) ON (B)(6) 2016. AT THE END OF SESSION LONGEVITY WAS 52 MONTHS. PRELIMINARY ANALYSIS CONFIRMED THE REPORTED EVENT AND BASED ON AVAILABLE DATA SHOWED NORMAL BATTERY DEPLETION (AS OF (B)(6) 2017).

Description of Event or Problem · 1

REPORTEDLY, ON (B)(6) 2017, THE DEVICE WAS INTERROGATED DURING ROUTINE FOLLOW-UP. BATTERY LONGEVITY WAS 48 MONTHS AT BEGINNING OF SESSION (BATTERY IMPEDANCE WAS 3.09 KOHM AND MAGNET RATE WAS 95). NO HIGH OUTPUTS WERE PROGRAMMED. COMPARING TO PREVIOUS FOLLOW-UPS, LONGEVITY WAS INCREASED: 105 MONTHS ON (B)(6) 2015, 32 MONTHS ON (B)(6) 2015 AND 24 MONTHS (BATTERY IMPEDANCE 2, 7 KOHM AND 96 MAGNET RATE) ON (B)(6) 2016. AT THE END OF SESSION LONGEVITY WAS 52 MONTHS. PRELIMINARY ANALYSIS CONFIRMED THE REPORTED EVENT AND BASED ON AVAILABLE DATA SHOWED NORMAL BATTERY DEPLETION (AS OF (B)(6) 2017).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
484605 SYMPHONY PULSE GENERATOR, PERMANENT, IMPLANTABLE NVY SORIN CRM SYMPHONY DR 2550 S080131

Patients

Seq Age Sex Outcome Treatment
1