FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 1000893 · Received February 21, 2008

Report

Report Number
1644487-2008-00346
Event Type
Malfunction
Date Received
February 21, 2008
Date of Event
January 24, 2008
Report Date
January 24, 2008
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO MANUFACTURER THAT WHEN THE VNS PATIENT'S DEVICE WAS TESTED AT A ROUTINE FOLLOW UP VISIT, A NORMAL MODE DIAGNOSTIC TEST WAS NOT ABLE TO BE PERFORMED SUCCESSFULLY. IT WAS REPORTED THAT PRIOR TO PERFORMING THE NORMAL MODE TEST, A SYSTEM DIAGNOSTIC TEST WAS PERFORMED AND REVEALED NORMAL DEVICE FUNCTION AND THE END OF SERVICE STATUS WAS NO. AFTER THE SYSTEM DIAGNOSTIC TEST WAS PERFORMED, A NORMAL MODE TEST WAS ATTEMPTED, HOWEVER THE TEST REVEALED THE FOLLOWING: OUTPUT STATUS =, OUTPUT CURRENT =, LEAD IMPEDANCE = UNK. THE TEST WAS ATTEMPTED TWICE WITH THE SAME RESULT EACH TIME. IT WAS REPORTED THAT THE PT DEVICE SETTINGS WERE PROGRAMMED TO THE MINIMUM REQUIRED SETTINGS TO SUCCESSFULLY PERFORM THE NORMAL MODE TEST. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION FROM THE PHYSICIAN HAVE BEEN MADE, BUT HAVE BEEN UNSUCCESSFUL TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROGRAMMING SOFTWARE LYJ CYBERONICS, INC. 250

Patients

Seq Age Sex Outcome Treatment
1