FDA Adverse Event
Malfunction
Summary report: N
PROGRAMMING SOFTWARE
MDR report key: 2062218
·
Received April 11, 2011
Report
- Report Number
- 1644487-2011-00767
- Event Type
- Malfunction
- Date Received
- April 11, 2011
- Date of Event
- March 14, 2011
- Report Date
- March 14, 2011
- Manufacturer
- CYBERONICS, INC.
- Product Code
- LYJ
- PMA / PMN Number
- P970003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE SCREEN TO A PHYSICIAN'S DELL X5 HANDHELD DEVICE WAS FROZEN AT THE "INTERROGATION SUCCESSFUL" SCREEN. THE PHYSICIAN PERFORMED A HARD RESET AND THE HANDHELD WORKED PROPERLY. NO REPLACEMENT PRODUCT WAS REQUESTED AS THE ISSUE RESOLVED WITH TROUBLESHOOTING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PROGRAMMING SOFTWARE | LYJ | CYBERONICS, INC. | 250 | 839583 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |