THE WALKAIDE STIMULATOR SYSTEM 20-0100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-08-03 for THE WALKAIDE STIMULATOR SYSTEM 20-0100 manufactured by Innovative Neurotronics, Inc..

Event Text Entries

[21369765] The device was purchased in 2009. Pt was wearing it initially for 2 hours a day, then prolonged the time of usage to several hours a day (for about a month). At approx two months of usage, the serious hiccups attack occurred, and persisted for several days before we called the emergency exchange - dr. And pt was prescribed chlorpromazine 25 mg 1-2 3 times daily. He was taking the device off for night, when he did, attack slowed a little. He was seen on emergency by the dr. The hiccups persisted besides of medication and pt started to have difficulty breathing. He was seen on emergency by another dr. And was prescribed metoclopramide 10mg 1 tab before night. When he came from appointment with the dr. He took walkaide off permanently and hiccups subsided after a day. Also breathing came back to normal. That visit was one week after the occurrence. We are convinced that this above mentioned device caused those serious events.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5012419
MDR Report Key1441116
Date Received2009-08-03
Date Added to Maude2009-08-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameTHE WALKAIDE STIMULATOR SYSTEM
Generic NameWALKAIDE SYSTEM
Product CodeGZI
Date Received2009-08-03
Model Number20-0100
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerINNOVATIVE NEUROTRONICS, INC.
Manufacturer Address3600 N CAPITAL OF TEXAS HGWY BLD B STE 150 AUSTIN TX 78746321 US 78746 3211


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2009-08-03

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