BEUDAMED
    FDA Adverse Event Other Summary report: N

    PULSE GEN MODEL 102

    MDR report key: 1287309 · Received December 30, 2008

    Report

    Report Number
    1644487-2008-03115
    Event Type
    Other
    Date Received
    December 30, 2008
    Date of Event
    December 3, 2008
    Report Date
    December 4, 2008
    Manufacturer
    CYBERONICS, INC.
    Product Code
    LYJ
    PMA / PMN Number
    P970003
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    117
    Health Professional
    Yes

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    424082 PULSE GEN MODEL 102 LYJ CYBERONICS, INC. 102 7392

    Patients

    Seq Age Sex Outcome Treatment
    1