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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SORIN GROUP ITALIA S.R.L. - CRM FACILITY CPR3 PROGRAMMER, PACEMAKER

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SORIN GROUP ITALIA S.R.L. - CRM FACILITY CPR3 PROGRAMMER, PACEMAKER Back to Search Results
Model Number CPR3
Device Problem Interrogation Problem (4017)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 06/09/2020
Event Type  Malfunction  
Event Description

Reportedly, after the subject cpr3 felt, it was impossible to interrogate 3 pacemakers. Then, it started working again.

 
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Brand NameCPR3
Type of DevicePROGRAMMER, PACEMAKER
Manufacturer (Section D)
SORIN GROUP ITALIA S.R.L. - CRM FACILITY
parc d'affaires noveos 4 avenue réaumur
.
clamart 92140
FR 92140
Manufacturer (Section G)
EOLANE BLD J. BAPTISTE COLBERT 49520 COMBREE FRANCE
parc d'affaires noveos 4 avenue réaumur
.
clamart 92140
FR 92140
Manufacturer Contact
laura ouaki
parc d'affaires noveos 4 avenue réaumur
.
clamart 92140
FR   92140
146013429
MDR Report Key10210663
MDR Text Key197581888
Report Number1000165971-2020-00458
Device Sequence Number1
Product Code KRG
Combination Product (Y/N)N
Reporter Country CodeFR
PMA/PMN NumberP980049
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type COMPANY REPRESENTATIVE,HEALTH
Reporter Occupation
Type of Report Initial,Followup
Report Date 09/21/2020
1 Device Was Involved in the Event
0 PatientS WERE Involved in the Event:
Date FDA Received06/30/2020
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator HEALTH PROFESSIONAL
Device MODEL NumberCPR3
Device Catalogue NumberCPR3
Was Device Available For Evaluation? Device Returned To Manufacturer
Date Returned to Manufacturer06/22/2020
Is The Reporter A Health Professional? No
Was the Report Sent to FDA? No
Distributor Facility Aware Date06/09/2020
Event Location Hospital
Date Manufacturer Received09/04/2020
Was Device Evaluated By Manufacturer? Yes
Is The Device Single Use? No
Is this a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse

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