FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 2894845 · Received January 3, 2013

Report

Report Number
1644487-2013-00032
Event Type
Malfunction
Date Received
January 3, 2013
Date of Event
August 28, 2007
Report Date
December 4, 2012
Manufacturer
CYBERONICS INC
Product Code
MUZ
PMA / PMN Number
P970003
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF PROGRAMMING HISTORY.

Description of Event or Problem · 1

DURING MANUFACTURER REVIEW OF THE PATIENT'S VNS PROGRAMMING HISTORY, IT WAS NOTED A FAULTED SYSTEMS TEST OCCURRED ON (B)(6) 2007 WHICH CHANGED THE VNS PROGRAMMED SETTINGS. THE SETTINGS WERE ALL CORRECTED EXCEPT FOR THE MAGNET ON TIME, WHICH WAS PREVIOUSLY AT 0MA AND WAS NOW AT 1MA. THE MAGNET OUTPUT CURRENT WAS LATER CORRECTED ON (B)(6) 2007.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2305 PROGRAMMING SOFTWARE PROGRAMMING SOFTWARE MUZ CYBERONICS INC MODEL 250 UNK

Patients

Seq Age Sex Outcome Treatment
1 42 YR