FDA Adverse Event
Malfunction
Summary report: N
PROGRAMMING SOFTWARE
MDR report key: 1133180
·
Received August 22, 2008
Report
- Report Number
- 1644487-2008-01989
- Event Type
- Malfunction
- Date Received
- August 22, 2008
- Date of Event
- January 1, 2008
- Report Date
- July 25, 2008
- Manufacturer
- CYBERONICS, INC.
- Product Code
- LYJ
- PMA / PMN Number
- P970003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ID, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE FAILURE IS SUSPECTED, BUT DID NOT CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE SERIAL CABLE CORD THAT PLUGS INTO THE HANDHELD HAS A LOOSE CONNECTION. A REPLACEMENT WAS SENT TO THE SITE. PRODUCT ANALYSIS IS PENDING ON THE HANDHELD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROGRAMMING SOFTWARE | LYJ | CYBERONICS, INC. | 250 | 584947 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |