FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 2834091 · Received November 15, 2012

Report

Report Number
1644487-2012-03026
Event Type
Malfunction
Date Received
November 15, 2012
Date of Event
October 25, 2012
Report Date
October 25, 2012
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

ANALYSIS OF THE VNS COMPUTER AND FLASHCARD WAS COMPLETED. NO ANOMALIES ASSOCIATED WITH THE HANDHELD COMPUTER WERE NOTED DURING TESTING USING THE AC ADAPTER OR THE MAIN BATTERY WITH A FULL CHARGE. THE HANDHELD PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS. THE FLASHCARD AND SOFTWARE PERFORMED ACCORDING TO SPECIFICATIONS. DURING THE ANALYSIS, NO ANOMALIES ASSOCIATED WITH FLASHCARD SOFTWARE OR DATABASES WERE IDENTIFIED. THE FLASHCARD AND SOFTWARE PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS.

Description of Event or Problem · 1

REPORTER INDICATED THAT A VNS (B)(4) COMPUTER WITH (B)(4) SOFTWARE WAS FREEZING ON THE "INTERROGATION SUCCESSFUL" SCREEN. A BACKUP VNS COMPUTER WAS SUCCESSFULLY USED ALTERNATIVELY, SO NO PATIENTS WERE AFFECTED. THE COMPUTER AND FLASHCARD HAVE BEEN RETURNED AND ARE PENDING ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROGRAMMING SOFTWARE PROGRAMMING SOFTWARE LYJ CYBERONICS, INC. MODEL 250 1073167

Patients

Seq Age Sex Outcome Treatment
1