FDA Adverse Event Injury Summary report: N

VIVISTIM® PAIRED VNS¿ SYSTEM (VIVISTIM® SYSTEM)

MDR report key: 24811085 · Received April 7, 2026

Report

Report Number
3012309950-2026-00017
Event Type
Injury
Date Received
April 7, 2026
Date of Event
September 22, 2025
Report Date
April 7, 2026
Manufacturer
MOBIA MEDICAL, INC.
Product Code
QPY
UDI-DI
10810041430028
PMA / PMN Number
P210007
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS MDR IS BEING REPORTED BASED ON DISCUSSIONS WITH THE FDA DURING AN ONSITE INSPECTION. DEVICE LOG FILES WERE OBTAINED AND REVIEWED FOR THE PERIOD FROM 08/20/2024 TO 10/28/2025, WITH THE REPORTED EVENT OCCURRING ON 09/22/2025. REVIEW OF THE LOG DATA INDICATES THAT THE VIVISTIM SYSTEM FUNCTIONED AS INTENDED BEFORE, DURING, AND AFTER THE REPORTED EVENT. PER PATIENT REQUEST, THE STIMULATION AMPLITUDE WAS INCREASED FROM 0.8 MA TO 0.9 MA, WITHIN RANGE OF TYPICAL SETTINGS. THE PATIENT'S MEDICAL HISTORY, LOG FILE DATA, CLINICAL LITERATURE, AND DEVICE UPDATED STIMULATION SETTINGS WERE EVALUATED. CONSIDERING THE ESTABLISHED SAFETY PROFILE OF VNS, THE LOW STIMULATION PARAMETERS, AND TYPE OF STROKE, THE PATIENT'S STROKE HISTORY, INCLUDING KNOWN PREDICTORS OF INCREASED SEIZURE RISK WITHIN ONE YEAR AS DESCRIBED IN PEER-REVIEWED LITERATURE, ALONG WITH CONFIRMED DEVICE PERFORMANCE AND CLINICAL CONTEXT, THERE IS NO OBJECTIVE EVIDENCE TO SUGGESTIT IS UNLIKELY THAT THE VIVISTIM SYSTEM CAUSED OR CONTRIBUTED TO THE REPORTED EVENT.

Description of Event or Problem · 0

THE PATIENT WAS IMPLANTED ON (B)(6) 2024. IT WAS REPORTED THAT THE PATIENT EXPERIENCED A SEIZURE APPROXIMATELY 10 MINUTES AFTER INITIATING A MAGNET SESSION ON (B)(6) 2025. A MAGNET SESSION, WHICH IS A PATIENT-INITIATED THERAPY PERIOD DURING WHICH THE VIVISTIM SYSTEM DELIVERS VAGUS NERVE STIMULATION (VNS) PAIRED WITH REHABILITATION EXERCISES. THE PATIENT WAS HOSPITALIZED OVERNIGHT, DURING WHICH AN EEG AND CT SCAN WERE PERFORMED. THE PATIENT WAS STARTED ON KEPPRA AND DISCHARGED THE FOLLOWING DAY. THE PATIENT HAD USED THE VIVISTIM SYSTEM FOR APPROXIMATELY 13 MONTHS, WITH NO REPORTED ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
479184 VIVISTIM® PAIRED VNS¿ SYSTEM (VIVISTIM® SYSTEM) VIVISTIM® SYSTEM QPY MOBIA MEDICAL, INC. 1001 10810041430028

Patients

Seq Age Sex Outcome Treatment
1 70 YR Male Hospitalization| O