FDA Adverse Event Injury Summary report: N

ALTO 2

MDR report key: 734385 · Received July 11, 2006

Report

Report Number
2182863-2006-00037
Event Type
Injury
Date Received
July 11, 2006
Date of Event
June 9, 2006
Report Date
July 11, 2006
Manufacturer
ELA MEDICAL, S.A.S.
Product Code
MRM
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

SINCE THE DEVICE WAS NOT RETURNED, THE PRODUCTION HISTORY AND STERILIZATION RECORDS WERE REVIEWED. THE RECORDS SHOWED THAT THIS DEVICE WAS MANUFACTURED, STERILIZED AND RELEASED ACCORDING TO THE APPLICABLE STANDARD OPERATING PROCEDURES. DEVICES SOLD AND LABELLED AS STERILE ARE MANUFACTURED, STERILIZED AND RELEASED ACCORDING TO APPLICABLE STANDARD OPERATING PROCEDURES. MANUFACTURING DATA FOR THE DEFIBRILLATOR IN OBJECT: MANUFACTURING DATE: 09 MAY 2005. USE BEFORE DATE: 09 JUNE 2006. STERILIZATION LOT NUMBER: S050526. MOREOVER, IT SHOULD BE NOTED THAT EROSION IS A WELL-KNOWN COMPLICATION OF CARDIAC PACING/DEFIBRILLATION SYSTEMS, AND THIS HAS ALREADY BEEN DESCRIBED IN THE LITERATURE.

Description of Event or Problem · 1

AFTER 9 MONTHS OF IMPLANTATION, THIS DEVICE WAS EXPLANTED DUE TO EROSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ALTO 2 IMPLANTABLE CARDIOVERTER DEFIBRILLATOR MRM ELA MEDICAL, S.A.S. 624 S050526

Patients

Seq Age Sex Outcome Treatment
1 49 YR Hospitalization| R