BEUDAMED
    FDA Adverse Event Death Summary report: N

    PULSE GEN MODEL UNKNOWN

    MDR report key: 1706380 · Received May 28, 2010

    Report

    Report Number
    1644487-2010-01283
    Event Type
    Death
    Date Received
    May 28, 2010
    Date of Event
    April 1, 2010
    Report Date
    April 28, 2010
    Manufacturer
    CYBERONICS, INC.
    Product Code
    LYJ
    PMA / PMN Number
    P970003
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FI
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A PATIENT HAD DIED AT HOME IN (B) (6) 2010, DUE TO AN UNK REASON. ATTEMPTS FOR FURTHER INFO HAVE BEEN UNSUCCESSFUL TO DATE.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Death