FDA Adverse Event Malfunction Summary report: N

PARADYM

MDR report key: 8320018 · Received February 8, 2019

Report

Report Number
1000165971-2019-00066
Event Type
Malfunction
Date Received
February 8, 2019
Date of Event
January 4, 2019
Report Date
March 25, 2019
Manufacturer
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
Product Code
MRM
PMA / PMN Number
P980049
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

PLEASE REFER TO THE ATTACHED ANALYSIS REPORT. (B)(4).

Description of Event or Problem · 0

REPORTEDLY, DURING THE FOLLOW-UP ON (B)(6) 2019, AN UNEXPECTED DECREASE IN THE BATTERY CURVE AND A WARNING ON THE BATTERY VOLTAGE WAS OBSERVED. PRELIMINARY ANALYSIS RESULTS REVEALED THAT THE OBSERVED DROP IN THE BATTERY CURVE WAS NORMAL AND DUE TO A BATTERY REFORMING. IN ADDITION, IT WAS NOTED THAT A RESET OCCURRED ON 5 NOVEMBER 2018, WHICH CAUSED THE DISPLAYED WARNING MESSAGE AND THE LOSS OF THE BATTERY CURVE UPDATE. THIS RESET WAS MOST PROBABLY DUE TO A SINGLE UPSET EVENT (SEU) AND NORMAL BEHAVIOR WAS RESTORED.

Description of Event or Problem · 1

REPORTEDLY, DURING THE FOLLOW-UP ON 4 JANUARY 2019, AN UNEXPECTED DECREASE IN THE BATTERY CURVE AND A WARNING ON THE BATTERY VOLTAGE WAS OBSERVED. PRELIMINARY ANALYSIS RESULTS REVEALED THAT THE OBSERVED DROP IN THE BATTERY CURVE WAS NORMAL AND DUE TO A BATTERY REFORMING. IN ADDITION, IT WAS NOTED THAT A RESET OCCURRED ON (B)(6) 2018, WHICH CAUSED THE DISPLAYED WARNING MESSAGE AND THE LOSS OF THE BATTERY CURVE UPDATE. THIS RESET WAS MOST PROBABLY DUE TO A SINGLE UPSET EVENT (SEU) AND NORMAL BEHAVIOR WAS RESTORED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
116766 PARADYM DEFIBRILLATOR, IMPLANTABLE, DUAL-CHAMBER MRM SORIN GROUP ITALIA S.R.L. - CRM FACILITY PARADYM DR 8550 2446

Patients

Seq Age Sex Outcome Treatment
1