FDA Adverse Event
Malfunction
Summary report: N
INSPIRE
MDR report key: 19078434
·
Received April 10, 2024
Report
- Report Number
- 19078434
- Event Type
- Malfunction
- Date Received
- April 10, 2024
- Date of Event
- March 19, 2024
- Report Date
- March 19, 2024
- Manufacturer
- INSPIRE MEDICAL SYSTEMS, INC.
- Product Code
- MNQ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- WI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
UPON REMOVAL OF INSPIRE GENERATOR, SURGEON NOTICED BURNED ELECTRODE WITHIN GENERATOR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 413074 | INSPIRE | STIMULATOR, HYPOGLOSSAL NERVE, IMPLANTED, APNEA | MNQ | INSPIRE MEDICAL SYSTEMS, INC. | AIR340606C |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 48 YR | Male |