FREEHAND 1060 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2004-02-23 for FREEHAND 1060 * manufactured by Neurocontrol Corp..

Event Text Entries

[22183049] Transmit coil to implant coupling is non functional. This makes hand grasp function to be nonfunctional.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1530440-2004-00002
MDR Report Key512810
Report Source05
Date Received2004-02-23
Date of Report2004-02-19
Date of Event2004-01-23
Date Mfgr Received2004-01-23
Device Manufacturer Date2000-04-01
Date Added to Maude2004-02-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactDARYN KINKOPH
Manufacturer Street8333 ROCKSIDE RD
Manufacturer CityVALLEY VIEW OH 44125
Manufacturer CountryUS
Manufacturer Postal44125
Manufacturer Phone2169120101
Manufacturer G1*
Manufacturer Street8333 ROCKSIDE RD
Manufacturer CityVALLEY VIEW OH 44125
Manufacturer CountryUS
Manufacturer Postal Code44125
Single Use3
Remedial ActionRC
Previous Use Code3
Removal Correction NumberZ-0983-1
Event Type3
Type of Report3

Device Details

Brand NameFREEHAND
Generic NameHAND GRASP NEUROPROSTHESIS
Product CodeGZC
Date Received2004-02-23
Model Number1060
Catalog Number*
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Implant FlagY
Date Removed*
Device Sequence No1
Device Event Key501817
ManufacturerNEUROCONTROL CORP.
Manufacturer Address8333 ROCKSIDE ROAD VALLEYVIEW OH 44125 US
Baseline Brand NameFREEHAND SYSTEM
Baseline Generic NameIMPLANTABLE RECEIVER STIMULATOR
Baseline Model No1060
Baseline Catalog NoNA
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2004-02-23

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