FDA Adverse Event Injury Summary report: N

SYMPHONY

MDR report key: 8141766 · Received December 7, 2018

Report

Report Number
1000165971-2018-01048
Event Type
Injury
Date Received
December 7, 2018
Date of Event
November 5, 2018
Report Date
January 25, 2019
Manufacturer
SORIN CRM
Product Code
NVZ
PMA / PMN Number
P950029
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

PLEASE REFER TO THE ATTACHED ANALYSIS REPORT. - ATTACHMENT: [20190114 - FILE-2018-03740 - ANALYSIS_AND_CLOSURE_REPORT_RESP-2019-00042.PDF].

Description of Event or Problem · 0

THE PATIENT ATTENDED FOR ROUTINE YEARLY FOLLOW UP ON MONDAY AND WE WERE COMPLETELY UNABLE TO INTERROGATE THE DEVICE AT ALL. THE SCREEN DISPLAYED AS IF INTERROGATING BUT KEPT DISPLAYING THE 1ST ERROR MESSAGE (IMG 1477) DESPITE BEING FULLY OVER THE DEVICE WITH THE HEADER AND THE HEADER BEING FULL LIT, EVEN MOVEMENT OF THE HEADER INTO NUMEROUS POSITIONS DID NOT HELP. PACING WAS CONFIRMED VIA MAGNET AND ECG. AS THE DEVICE HAS BEEN IN SITU SINCE 2006 IT WAS DECIDED TO URGENTLY BOX CHANGE THIS PATIENT. DEVICE WAS EXPLANTED ON WEDNESDAY. DURING WHICH I MANAGED FINALLY AFTER 10 MINUTES TO BE ABLE TO INTERROGATE RANDOMLY, BATTERY WAS DISPLAYING 39 MONTHS AND ALL PARAMETERS OK. HOWEVER I WAS NOT ABLE TO REPROGRAM ANYTHING AS IT KEPT GIVING ME THE ERROR MESSAGE (IMG 1477) AND THEN ANOTHER ERROR MESSAGE (IMG 1478).

Description of Event or Problem · 1

THE PATIENT ATTENDED FOR ROUTINE YEARLY FOLLOW UP ON MONDAY AND WE WERE COMPLETELY UNABLE TO INTERROGATE THE DEVICE AT ALL. THE SCREEN DISPLAYED AS IF INTERROGATING BUT KEPT DISPLAYING THE 1ST ERROR MESSAGE (IMG 1477) DESPITE BEING FULLY OVER THE DEVICE WITH THE HEADER AND THE HEADER BEING FULL LIT, EVEN MOVEMENT OF THE HEADER INTO NUMEROUS POSITIONS DID NOT HELP. PACING WAS CONFIRMED VIA MAGNET AND ECG. AS THE DEVICE HAS BEEN IN SITU SINCE 2006 IT WAS DECIDED TO URGENTLY BOX CHANGE THIS PATIENT. DEVICE WAS EXPLANTED ON WEDNESDAY. DURING WHICH I MANAGED FINALLY AFTER 10 MINUTES TO BE ABLE TO INTERROGATE RANDOMLY, BATTERY WAS DISPLAYING 39 MONTHS AND ALL PARAMETERS OK. HOWEVER I WAS NOT ABLE TO REPROGRAM ANYTHING AS IT KEPT GIVING ME THE ERROR MESSAGE (IMG 1477) AND THEN ANOTHER ERROR MESSAGE (IMG 1478).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
982232 SYMPHONY PULSE GENERATOR, PERMANENT, IMPLANTABLE NVZ SORIN CRM RHAPSODY + DR 2530 S050512

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention