FDA Adverse Event
Malfunction
Summary report: N
PROGRAMMING SOFTWARE
MDR report key: 1022715
·
Received March 26, 2008
Report
- Report Number
- 1644487-2008-00794
- Event Type
- Malfunction
- Date Received
- March 26, 2008
- Date of Event
- February 1, 2008
- Report Date
- February 28, 2008
- Manufacturer
- CYBERONICS, INC.
- Product Code
- LYJ
- PMA / PMN Number
- P970003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE MALFUNCTION SUSPECTED, BUT DID NOT CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY.
Description of Event or Problem · 1
REPORTER INDICATED THAT SYSTEM DIAGNOSTICS WERE NOT ABLE TO BE COMPLETED ON A PT'S PULSE GENERATOR WITHOUT RECEIVING ERROR MESSAGES, AND AT TIMES THE PT'S DEVICE SETTINGS WERE CHANGED AFTER THE ATTEMPT TO RUN DIAGNOSTICS TESTING. PROGRAMMING HANDHELD AND ACCOMPANYING SOFTWARE WERE SUBSEQUENTLY RETURNED TO MANUFACTURER FOR ANALYSIS, HOWEVER, THAT ANALYSIS IS NOT YET COMPLETE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROGRAMMING SOFTWARE | LYJ | CYBERONICS, INC. | MODEL 250 | 521419 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |