FDA Adverse Event Injury Summary report: N

PULSE GEN MODEL UNK

MDR report key: 1248023 · Received December 1, 2008

Report

Report Number
1644487-2008-02863
Event Type
Injury
Date Received
December 1, 2008
Date of Event
November 1, 2008
Report Date
November 10, 2008
Manufacturer
CYBERONICS, INC.
Product Code
MUZ
PMA / PMN Number
P970003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REPORTER INDICATED THAT A VNS PT WAS HOSPITALIZED DUE TO KIDNEY PROBLEMS. DURING THIS HOSPITALIZATION, THE HOSP PHYSICIAN NOTED THAT THE PT WAS EXPERIENCING BRADYCARDIA. FURTHER FOLLOW UP REVEALED THAT THE PT WAS TO UNDERGO SURGERY FOR A PACEMAKER. GOOD FAITH ATTEMPTS TO OBTAIN ADDITIONAL INFO HAVE BEEN UNSUCCESSFUL. THE RELATIONSHIP BETWEEN THE BRADYCARDIA EVENT AND THE VNS THERAPY IS UNK AT THIS TIME.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 77 YR Life Threatening