FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 1232731 · Received November 14, 2008

Report

Report Number
1644487-2008-02768
Event Type
Malfunction
Date Received
November 14, 2008
Date of Event
April 1, 2008
Report Date
October 16, 2008
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

IT WAS FOUND THAT A PATIENT'S VNS DEVICE WAS FOUND TO BE RESET TO 0MA UPON INITIAL INTERROGATION AT A ROUTINE OFFICE VISIT. THE LAST OFFICE VISIT HAD BEEN SIX MONTHS PRIOR WHERE THE OUTPUT CURRENT WAS THOUGHT TO BE SET AT 1.0 MA. FOLLOWUP WITH THE PHYSICIAN REVEALED THAT AN INTERRUPTED DIAGNOSTIC TEST HAD OCCURRED AT THE LAST OFFICE VISIT. THE INTERRUPTED DIAGNOSTIC TEST CAUSED THE DEVICE TO RESET TO DIFFERENT SETTINGS. THE PHYSICIAN PROGRAMMED THE PATIENT TO THE CORRECT SETTINGS.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 23 YR