FDA Adverse Event Malfunction Summary report: N

PARADYM 2

MDR report key: 7731116 · Received July 30, 2018

Report

Report Number
1000165971-2018-00695
Event Type
Malfunction
Date Received
July 30, 2018
Date of Event
July 4, 2018
Report Date
July 30, 2018
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
LWO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE INVOLVED IN THIS MDR REPORT IS NOT APPROVED IN THE UNITED STATES; HOWEVER, IT IS SIMILAR TO A DEVICE MANUFACTURED BY SORIN THAT WAS CLEARED OR APPROVED BY FDA FOR MARKETING IN THE UNITED STATES.

Description of Event or Problem · 1

REPORTEDLY, DURING AN EXTRA FOLLOW-UP PERFORMED ON (B)(6) 2018, 73 VF EPISODES AND 1 INAPPROPRIATE SHOCK WERE OBSERVED DUE TO NOISE OVERSENSING. THE RIGHT VENTRICULAR CONTINUITY IS ABOVE 3000OHMS AND THE RIGHT VENTRICULAR IMPEDANCE VALUE AT 2931OHMS. ALERT ON THE VENTRICULAR LEAD IMPEDANCE AND ON THE RV SHOCK CONTINUITY HIGHER THAN 3000OHMS WERE OBSERVED. ON (B)(6) 2018, A REINTERVENTION OCCURRED AND PART OF THE LEAD HAS BEEN EXPLANTED (CUT AND ISOLATED), THE REST REMAINED ABANDONED. THE ICD REMAINS IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
575205 PARADYM 2 SINGLE-CHAMBER IMPLANTABLE DEFIBRILLATOR LWO SORIN GROUP ITALIA S.R.L. - CRM FACILITY PARADYM 2 VR 8252 2846

Patients

Seq Age Sex Outcome Treatment
1