NEUROPACE RNS SYSTEM RNS-320-K 1007694

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-01-21 for NEUROPACE RNS SYSTEM RNS-320-K 1007694 manufactured by Neuropace, Inc..

Event Text Entries

[176209367] (b)(4). The explanted product was not returned to neuropace for analysis.
Patient Sequence No: 1, Text Type: N, H10


[176209368] Neuropace was notified that the treating clinician was reporting unspecified difficulties interrogating the patient's rns neurostimulator using the rns? Tablet during a clinic appointment. Further troubleshooting was performed, including the use of different rns? Tablet and wands to interrogate, however the rns neurostimulator was still unable to be interrogated. The treating clinician and patient stated that the device had not been exposed to mri or any surgical procedures involving the use of electrocautery. Review of device data indicated that the device was functioning normally as of (b)(6) 2019. However, no further data or communication with the device was present after that date. The patient was subsequently scheduled for a neurostimulator replacement procedure on (b)(6) 2020 which occurred without complication.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004426659-2019-00060
MDR Report Key9612597
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-01-21
Date of Report2020-01-20
Date of Event2020-01-03
Date Mfgr Received2020-01-03
Date Added to Maude2020-01-21
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 Location3
Manufacturer ContactMRS. RAMONA GONIS
Manufacturer Street455 N. BERNARDO AVE.
Manufacturer CityMOUNTAIN VIEW CA 94043
Manufacturer CountryUS
Manufacturer Postal94043
Manufacturer Phone6502382788
Manufacturer G1NEUROPACE, INC.
Manufacturer Street455 N. BERNARDO AVE.
Manufacturer CityMOUNTAIN VIEW CA 94043
Manufacturer CountryUS
Manufacturer Postal Code94043
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEUROPACE RNS SYSTEM
Generic NameNEUROPACE RNS SYSTEM
Product CodePFN
Date Received2020-01-21
Model NumberRNS-320-K
Catalog Number1007694
Lot Number25944-1-1-1
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNEUROPACE, INC.
Manufacturer Address455 N. BERNARDO AVE. MOUNTAIN VIEW CA 94043 US 94043


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2020-01-21

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