FDA Adverse Event Malfunction Summary report: N

PROGRAMMING SOFTWARE

MDR report key: 3192287 · Received June 27, 2013

Report

Report Number
1644487-2013-01938
Event Type
Malfunction
Date Received
June 27, 2013
Date of Event
March 1, 2013
Report Date
June 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
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE HANDHELD AND FLASHCARD WERE RECEIVED FOR ANALYSIS. ANALYSIS OF THE HANDHELD WAS COMPLETED ON (B)(4) 2014. 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. ANALYSIS OF THE FLASHCARD WAS COMPLETED ON (B)(4) 2014. THE FLASHCARD AND SOFTWARE PERFORMED ACCORDING TO FUNCTIONAL SPECIFICATIONS.

Description of Event or Problem · 1

ON (B)(6) 2013 IT WAS REPORTED THAT THE PHYSICIAN¿S HANDHELD WAS NOT HOLDING A CHARGE DESPITE BEING PLUGGED IN. IT WAS STATED THAT THE HANDHELD WOULD CHARGE OVERNIGHT BUT THEN ONCE UNPLUGGED IT WOULD QUICKLY DEPLETE. IT WAS STATED THAT IT STARTED OVER THE LAST FEW MONTHS, BUT THE EXACT DATE WAS UNKNOWN. IT WAS STATED THAT THE HANDHELD WOULD BE RETURNED FOR PRODUCT ANALYSIS BUT IT HAS NOT BEEN RECEIVED TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
293555 PROGRAMMING SOFTWARE PROGRAMMING COMPUTER LYJ CYBERONICS, INC. MODEL 250 839583

Patients

Seq Age Sex Outcome Treatment
1