FDA Adverse Event Malfunction Summary report: N

SMARTVIEW HOTSPOT

MDR report key: 6966938 · Received October 20, 2017

Report

Report Number
1000165971-2017-00780
Event Type
Malfunction
Date Received
October 20, 2017
Date of Event
September 21, 2017
Report Date
September 21, 2017
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
MRM
PMA / PMN Number
UNKNOWN
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PLEASE REFER TO THE ATTACHED REPORT.

Description of Event or Problem · 1

A PHONE CALL WAS REPORTED BY A NURSE DURING A FOLLOW UP. AN ORANGE DIODE WAS SHOWN AND THEN THE BUTTON MOVED DIRECTLY TO RED. THREE ATTEMPTS WERE PERFORMED TO RECONNECT THE SYSTEM BUT THE SYMPTOM REMAINED UNCHANGED. THE UNIT WAS RETURNED FOR ANALYSIS.

Description of Event or Problem · 1

A PHONE CALL WAS REPORTED BY A NURSE DURING A FOLLOW UP. AN ORANGE DIODE WAS SHOWN AND THEN THE BUTTON MOVED DIRECTLY TO RED. THREE ATTEMPTS WERE PERFORMED TO RECONNECT THE SYSTEM BUT THE SYMPTOM REMAINED UNCHANGED. THE UNIT WAS RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
745629 SMARTVIEW HOTSPOT UNKNOWN MRM SORIN GROUP ITALIA S.R.L. - CRM FACILITY SMARTVIEW HOTSPOT GPRS

Patients

Seq Age Sex Outcome Treatment
1