BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1644487-2011-01673

    MDR report key: 2190431 · Received July 25, 2011

    Report

    Report Number
    1644487-2011-01673
    Event Type
    Injury
    Date Received
    July 25, 2011
    Date of Event
    May 1, 2011
    Report Date
    June 29, 2011
    Manufacturer
    CYBERONICS, INC.
    PMA / PMN Number
    P970003
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Male Required Intervention