FDA Adverse Event
Malfunction
Summary report: N
PROGRAMMING SOFTWARE
MDR report key: 1832098
·
Received September 3, 2010
Report
- Report Number
- 1644487-2010-02020
- Event Type
- Malfunction
- Date Received
- September 3, 2010
- Date of Event
- May 10, 2006
- Report Date
- August 6, 2010
- Manufacturer
- CYBERONICS, INC.
- Product Code
- MUZ
- PMA / PMN Number
- P970003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
VNS PROGRAMMING HISTORY RECEIVED FROM THE REPORTER REVEALED THAT AN INTERRUPTED SYSTEMS DIAGNOSTICS TEST HAD CAUSED THE VNS SETTINGS TO CHANGE AT A PATIENT'S INITIAL IMPLANT SURGERY ON (B)(6) 2006. THE VNS WAS REINTERROGATED BUT THE CHANGE IN SETTINGS WAS NOT NOTED. THIS RESULTED IN THE PATIENT LEAVING THE SURGERY WITH UNINTENDED SETTINGS OF 1MA EVERY 60 MINUTES. THE VNS WAS LATER PROGRAMMED TO THE INTENDED SETTINGS ON (B)(6)2006.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROGRAMMING SOFTWARE | MUZ | CYBERONICS, INC. | 250 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 55 YR |