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 04 report with the FDA on 2002-07-03 for FREEHAND SYSTEM 1060-1 NA manufactured by Neurocontrol Corp..

Event Text Entries

[248022] This patient was implanted with the neurocontrol freehand system in 1997. While attempting to use the device's exercise function in 2002, the patient reportedly experienced "jumpy", intermittent stimulation, and not the expected exercise stimulation pattern. A malfunction of the ecu was suspected and the ecu was returned for repair. The ecu batteries were found to be dead; however, the device operates properly when powered by the battery charger. A neurocontrol representative visited the patient in 2002, performed stimulation testing using a freehand implant tester, and determined that the implantable receiver-stimulator (irs) had malfunctioned. It is likely that the malfunction is due to water vapor generated inside the irs capsule, a problem that was the subject of a previous recall. Irs replacement would require surgical intervention, after which a follow-up report will be submitted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1530440-2002-00008
MDR Report Key403112
Report Source04
Date Received2002-07-03
Date of Report2002-06-03
Date of Event2002-02-14
Date Mfgr Received2002-06-03
Date Added to Maude2002-07-08
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 ActionRC
Previous Use Code3
Removal Correction Number9028925-11/07/00-003
Event Type3
Type of Report3

Device Details

Brand NameFREEHAND SYSTEM
Generic NameHAND GRASP NEUROPROSTHESIS
Product CodeGZC
Date Received2002-07-03
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 Key392116
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. Required No Informationntervention 2002-07-03

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