FDA Adverse Event Injury Summary report: N

PULSE GEN MODEL UNK

MDR report key: 1080734 · Received July 18, 2008

Report

Report Number
1644487-2008-01648
Event Type
Injury
Date Received
July 18, 2008
Date of Event
June 1, 1999
Report Date
June 19, 2008
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ARDESCH JJ, ET AL., "CARDIAC RESPONSES OF VAGUS NERVE STIMULATION: INTRAOPERATIVE BRADYCARDIA AND SUBSEQUENT CHRONIC STIMULATION", CLIN NEUROL NEUROSURG (2007), DOI: 10.1016/J.CLINEURO.2007.07.024.

Description of Event or Problem · 1

IT WAS REPORTED IN AN ARTICLE REVIEWED BY MFR THAT THE VNS PT EXPERIENCED A BRADYCARDIA EVENT INTRA-OPERATIVELY UPON INITIAL IMPLANTATION OF THE VNS DEVICE, DURING LEAD TEST. THE FOLLOWING IS THE SUMMARY OF THIS PT'S EVENT ACCORDING TO THE INFO IN THE REFERENCED ARTICLE. THE PT HAD NO MEDICAL HISTORY OF CARDIAC DISEASE. PHYSICAL EXAMINATION AT FIRST CONSULATION PRIOR TO IMPLANTATION WAS NORMAL, BLOOD PRESSURE WAS 130/85 MM HG AND HEART RATE WAS 84 BEATS/MINUTE. IN 1999, A VNS SYSTEM WAS IMPLANTED. DURING THE INTRAOPERATIVE LEAD TEST OF VNS THE PT'S HEART RATE CHANGED FROM 65 BEATS/MINUTE TO A BRADYCARDIA OF APPROX 43 BEATS/MINUTE DURING THE PERIOD OF STIMULATION. A SECOND TEST RESULTED IN A SIMILAR RESPONSE WITH 25 BEATS/MINUTE. HEART RATE RETURNED TO NORMAL, RAPIDLY AFTER STIMULATION AND THE IMPLANTATION PROCEDURE WAS CARRIED OUT AS PLANNED. POSTOPERATIVELY, THERE WERE NO COMPLICATIONS. AFTER 10 DAYS VNS WAS INITIATED UNDER ECG MONITORING. NO FURTHER CARDIAC EFFECTS WERE NOTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PULSE GEN MODEL UNK LYJ CYBERONICS, INC.

Patients

Seq Age Sex Outcome Treatment
1 32 YR Life Threatening