FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 2925478 · Received January 22, 2013

Report

Report Number
1644487-2013-00199
Event Type
Malfunction
Date Received
January 22, 2013
Date of Event
January 1, 2013
Report Date
January 3, 2013
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
PMA / PMN Number
P970003
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013, IT WAS REPORTED THAT THE PHYSICIAN'S OFFICE WAS HAVING ISSUES WITH THEIR PROGRAMMING SYSTEM COMMUNICATING WITH VARIOUS PATIENTS, WHICH STARTED A FEW DAYS PRIOR. IT WAS NOTED THAT THE PROGRAMMING SYSTEM WAS NOT PLUGGED INTO THE WALL DURING INTERROGATIONS. THE MANUFACTURER'S CONSULTANT WAS USED HER GOOD WAND WITH THE PHYSICIAN'S HANDHELD AND WAS UNABLE TO COMMUNICATE WITH THE DEMO GENERATOR. THE CONSULTANT'S PROGRAMMING SYSTEM WAS SAID TO BE OPERATING PROPERLY. THE PHYSICIAN'S HANDHELD AND FLASHCARD WERE RETURNED TO THE MANUFACTURER ON (B)(6) 2013 FOR PRODUCT ANALYSIS. PRODUCT ANALYSIS IS STILL UNDERWAY AND HAS NOT YET BEEN COMPLETED.

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS RECEIVED ON (B)(6) 2013 WHEN PRODUCT ANALYSIS WAS COMPLETED ON THE RETURNED HANDHELD AND FLASHCARD. AN ANALYSIS WAS PERFORMED ON THE HANDHELD AND NO ANOMALIES ASSOCIATED WITH THE HANDHELD WERE NOTED DURING TESTING USING THE AC ADAPTER OR THE MAIN BATTERY WITH A FULL CHARGE. THE HANDHELD PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS. AN ANALYSIS WAS PERFORMED ON THE RETURNED FLASHCARD AND NO ANOMALIES ASSOCIATED WITH FLASHCARD SOFTWARE OR DATABASES WERE IDENTIFIED DURING THE FLASHCARD ANALYSIS. THE FLASHCARD AND SOFTWARE PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
29159 PROGRAMMING SOFTWARE PROGRAMMING COMPUTER LYJ CYBERONICS, INC. MODEL 250 874811

Patients

Seq Age Sex Outcome Treatment
1