FDA Adverse Event Injury Summary report: N

LEAD MODEL 302

MDR report key: 1651539 · Received April 2, 2010

Report

Report Number
1644487-2010-00808
Event Type
Injury
Date Received
April 2, 2010
Date of Event
March 5, 2010
Report Date
March 5, 2010
Manufacturer
CYBERONICS, INC.
Product Code
LYZ
PMA / PMN Number
P970003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REPORTER INDICATED A VNS PT HAD DEVELOPED VOCAL CORD PARESIS, AND THAT THE PT HAS HAD THE PROBLEM SINCE THE VNS WAS IMPLANTED ON (B) (6) 2009. THE VNS WAS NOT TURNED ON UNTIL EARLY (B) (6) 2010, BUT THE REPORTER INDICATED THE VNS WOULD BE DISABLED AT THE PT'S OFFICE VISIT THE FOLLOWING WEEK AS THE PARESIS WORSENED SLIGHTLY WITH VNS STIMULATION. THE REPORTER BELIEVES THE VOCAL CORD PARESIS WAS CAUSED BY THE INITIAL VNS IMPLANT SURGERY, AND NOT BY THE VNS STIMULATION. ATTEMPTS TO THE REPORTER FOR FURTHER INFO ARE IN PROGRESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LEAD MODEL 302 LYZ CYBERONICS, INC. 302-20 201164

Patients

Seq Age Sex Outcome Treatment
1 39 YR Required Intervention