LEAD MODEL 304 304-20

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,consum report with the FDA on 2020-02-20 for LEAD MODEL 304 304-20 manufactured by Cyberonics - Houston.

Event Text Entries

[180767421] It was reported that the patient has been experiencing constant voice alteration. Otolaryngology (ent) evaluation and laryngoscopy indicated no vocal cord paralysis. The ent recommended vocal cord therapy. Per the implanting surgeon, no additional information on the voice alteration is available as the surgeon was never made aware of this complaint. No additional relevant information has been received to date.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1644487-2020-00292
MDR Report Key9733507
Report SourceCOMPANY REPRESENTATIVE,CONSUM
Date Received2020-02-20
Date of Report2020-02-20
Date of Event2020-01-28
Date Mfgr Received2020-01-28
Device Manufacturer Date2018-11-07
Date Added to Maude2020-02-20
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. RACHEL KOHN
Manufacturer Street100 CYBERONICS BLVD SUITE 600
Manufacturer CityHOUSTON TX 77058
Manufacturer CountryUS
Manufacturer Postal77058
Manufacturer Phone2812287200
Manufacturer G1CYBERONICS - HOUSTON
Manufacturer Street100 CYBERONICS BLVD SUITE 600
Manufacturer CityHOUSTON TX 77058
Manufacturer CountryUS
Manufacturer Postal Code77058
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLEAD MODEL 304
Generic NameLEAD
Product CodeMUZ
Date Received2020-02-20
Model Number304-20
Lot Number5987
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCYBERONICS - HOUSTON
Manufacturer Address100 CYBERONICS BLVD HOUSTON TX 77058 US 77058


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-20

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