FDA Adverse Event Injury Summary report: N

VNS THERAPY PULSE

MDR report key: 566962 · Received January 21, 2005

Report

Report Number
1644487-2005-00073
Event Type
Injury
Date Received
January 21, 2005
Date of Event
October 25, 2004
Report Date
December 22, 2004
Manufacturer
CYBERONICS, INC.
Product Code
LYJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE PT HAD BEEN HOSPITALIZED DUE TO SHORTNESS OF BREATH. IT WAS REPORTED THAT THE PT HAS BEEN EXPERIENCING SHORTNESS OF BREATH SINCE VNS IMPLANT AND THE SHORTNESS OF BREATH WAS CONSTANT. NEUROLOGIST INDICATED THAT THE PT IS DOING BETTER WITH BRONCHODILATORS AND THAT THE SHORTNESS OF BREATH MAY POSSIBLY BE DUE TO DEVICE STIMULATION OR IMPLANT SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VNS THERAPY PULSE PULSE GENERATOR LYJ CYBERONICS, INC. 102 8735

Patients

Seq Age Sex Outcome Treatment
1 51 YR Hospitalization| L| R CURRENT MEDICATIONS INCLUDE: ZOLOFT-100 MG,QD| MODEL 302-20 VNS THERAPY LEAD, EXPIR DATE 07/2005| DEPAKOTE 0 250MG, NO0N, TOPMAX-25MG,BID| DATE OF MFG 07/2006, STELIZATION LOT NO 8773| DEPAKOTE ER-500 MG, BID