FDA Adverse Event
Malfunction
Summary report: N
INSPIRE
MDR report key: 12359700
·
Received August 23, 2021
Report
- Report Number
- MW5103456
- Event Type
- Malfunction
- Date Received
- August 23, 2021
- Date of Event
- August 12, 2021
- Report Date
- August 19, 2021
- Manufacturer
- INSPIRE MEDICAL SYSTEMS, INC.
- Product Code
- MNQ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
PT TO SURGERY FOR IMPLANTATION OF INSPIRE DEVICE FOR OBSTRUCTIVE SLEEP APNEA. THE VENDOR WAS IN THE OPERATING ROOM SUITE AND PRIOR TO INSERTING THE BATTERY, IT WAS READING "LOW" SO THE PHYSICIAN AND VENDOR DECIDED TO USE THE BACK UP BATTERY. NO HARM TO THE PATIENT. (B)(6). FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1251956 | INSPIRE | STIMULATOR, HYPOGLOSSAL NERVE, IMPLANTED, APNEA | MNQ | INSPIRE MEDICAL SYSTEMS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR |