FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 3023976 · Received March 27, 2013

Report

Report Number
1644487-2013-00839
Event Type
Malfunction
Date Received
March 27, 2013
Date of Event
March 4, 2013
Report Date
March 4, 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 PROGRAMMING SYSTEM IS GIVING THEM SOME DIFFICULTIES. IT WAS DESCRIBED THAT WHEN USING THE PROGRAMMING EQUIPMENT TO INTERROGATE/PROGRAM, THEY HAVE TO HOLD THE SERIAL CABLE A CERTAIN WAY FOR IT TO WORK. IT WAS LATER STATED THAT THE PHYSICIAN'S PROGRAMMING SYSTEM WORKS FINE WITH A NEW SERIAL CABLE. IT WAS REPORTED THAT THE OLD SERIAL CABLE WOULD BE RETURNED FOR PRODUCT ANALYSIS BUT IT HAS NOT BEEN RECEIVED TO DATE.

Description of Event or Problem · 1

THE HANDHELD SERIAL CABLE WAS RETURNED FOR PRODUCT ANALYSIS ON (B)(6) 2013. PRODUCT ANALYSIS IS STILL UNDERWAY AND HAS NOT YET BEEN COMPLETED.

Description of Event or Problem · 1

ON (B)(6) 2013, PRODUCT ANALYSIS WAS COMPLETED ON THE HANDHELD SERIAL CABLE. NO ANOMALIES ASSOCIATED WITH THE SERIAL CABLE WERE NOTED DURING TESTING. THE SERIAL CABLE PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
125925 PROGRAMMING SOFTWARE PROGRAMMING COMPUTER LYJ CYBERONICS, INC. MODEL 250 1075842

Patients

Seq Age Sex Outcome Treatment
1