FREEHAND SYSTEM 1060-1 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00 report with the FDA on 2001-06-28 for FREEHAND SYSTEM 1060-1 NA manufactured by Neurocontrol Corp.

Event Text Entries

[222547] A pt was implanted with the freehand system hand grasp neuroprosthesis in 1996. In 2001, the pt reported that the device was not operating properly, as there was no hand stimulation. One day after event date, the external control unit was replaced and some stimulation was restored. However, the stimulation was intermittent and did not produce a grasp. The external system components are believed to be functioning properly, and malfunction of the implantable receiver - stimulator is suspected. Additional testing is being scheduled. Follow up information will be provided when available.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1530440-2001-00022
MDR Report Key340038
Report Source00
Date Received2001-06-28
Date of Report2001-06-28
Date of Event2001-05-29
Date Mfgr Received2001-05-30
Date Added to Maude2001-07-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactMICHAEL SOUTHWORTH
Manufacturer Street8333 ROCKSIDE ROAD
Manufacturer CityVALLEY VIEW OH 44125
Manufacturer CountryUS
Manufacturer Postal44125
Manufacturer Phone2169120101
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFREEHAND SYSTEM
Generic NameHAND GRASP NEUROPROSTHESIS
Product CodeGZC
Date Received2001-06-28
Model Number1060-1
Catalog NumberNA
Lot NumberNA
ID NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagY
Date RemovedA
Device Sequence No1
Device Event Key329362
ManufacturerNEUROCONTROL CORP
Manufacturer Address8333 ROCKSIDE RD VALLEYVIEW OH 44125 US
Baseline Brand NameFREEHAND SYSTEM
Baseline Generic NameNEUROMUSCULAR STIMULATOR IMPLANT
Baseline Model No1060-1
Baseline Catalog NoNA
Baseline IDNA
Baseline Device FamilyFREEHAND SYSTEM IMPLANTABLE RECEIVER STIMULATOR
Baseline Shelf Life [Months]NA
Baseline PMA FlagY
Premarket ApprovalP9500
Baseline 510K PMNN
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2001-06-28

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