FDA Adverse Event Injury Summary report: N

PULSE GEN MODEL 102

MDR report key: 1243692 · Received November 25, 2008

Report

Report Number
1644487-2008-02862
Event Type
Injury
Date Received
November 25, 2008
Date of Event
October 8, 2008
Report Date
November 3, 2008
Manufacturer
CYBERONICS, INC.
Product Code
MUZ
PMA / PMN Number
P970003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A VNS PT EXPERIENCED A MILD INFECTION AT THE INCISION SITE IN THE LEFT ARM PIT. THE INFECTION WAS A RESULT OF VNS IMPLANT SURGERY. MEDICATION (KEPLEX) WAS ADDED, AND THE INFECTION RESOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PULSE GEN MODEL 102 MUZ CYBERONICS, INC. 102

Patients

Seq Age Sex Outcome Treatment
1 33 YR Required Intervention