BEUDAMED
    FDA Adverse Event Death Summary report: N

    CYBERONICS NEUROCYBERNETIC PROSTHESIS

    MDR report key: 318078 · Received February 23, 2001

    Report

    Report Number
    1644487-2001-00212
    Event Type
    Death
    Date Received
    February 23, 2001
    Date of Event
    December 15, 2000
    Report Date
    December 18, 2000
    Manufacturer
    CYBERONICS, INC.
    Product Code
    LYJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PATIENT DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    7576 CYBERONICS NEUROCYBERNETIC PROSTHESIS NEUROSTIMULATOR LYJ CYBERONICS, INC. 101 40488C

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Death MODEL 300-20 BIPOLAR LEAD