FDA Adverse Event
Malfunction
Summary report: N
PULSE GEN MODEL UNK
MDR report key: 1800080
·
Received August 11, 2010
Report
- Report Number
- 1644487-2010-01844
- Event Type
- Malfunction
- Date Received
- August 11, 2010
- Date of Event
- July 13, 2010
- Report Date
- July 13, 2010
- Manufacturer
- CYBERONICS, INC.
- Product Code
- LYJ
- PMA / PMN Number
- P970003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY A PT LOOKING TO GET IMPLANTED WITH VNS THAT SHE WAS TOLD BY HER FORMER CO-WORKER THAT ANOTHER PT EXPERIENCED AN INCREASE IN SEIZURES AFTER BEING IMPLANTED WITH VNS. THE PERSON WHO REPORTED THIS EVENT HAS NO OTHER DETAILS AND DOES NOT KNOW WHO THE PT IS WHO EXPERIENCED THE INCREASE. GOOD FAITH ATTEMPTS TO OBTAIN ADDITIONAL INFO HAVE BEEN UNSUCCESSFUL TO DATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PULSE GEN MODEL UNK | LYJ | CYBERONICS, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |