FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 1081945 · Received July 23, 2008

Report

Report Number
1644487-2008-01694
Event Type
Malfunction
Date Received
July 23, 2008
Date of Event
June 1, 2008
Report Date
June 26, 2008
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, 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

INITIAL REPORTER INDICATED THAT THE SITE'S DELL X5 HANDHELD SCREEN ALIGN WOULD NOT COMPLETE. A RESET DID NOT RESOLVE THE PROBLEM. MANUFACTURER PENDING RECEIPT OF PRODUCT FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROGRAMMING SOFTWARE LYJ CYBERONICS, INC. MODEL 250 366959

Patients

Seq Age Sex Outcome Treatment
1