An adverse event is an unwanted medical occurrence reported during treatment or a clinical investigation. It may include an injury, new symptom, infection, device malfunction with clinical effects or worsening of an existing condition. Recording an event does not by itself establish that the investigational device caused it.

For an implanted brain-computer interface, researchers may monitor surgical complications, infection, bleeding, changes in neurological function, hardware problems and problems associated with ongoing use. They record the event, its seriousness, how it was managed and whether investigators believe it is related to the procedure or device.

A serious adverse event is a narrower reporting category, often involving outcomes such as death, life-threatening harm, hospitalization or significant disability. A study's safety report should distinguish serious events from less severe ones and explain which were judged related to the intervention. Counting events without understanding that distinction can mislead readers.

When a company reports that no device-related serious adverse events occurred, read the time period, participant count and event definitions. That statement is narrower than saying there were no adverse events, and it does not establish long-term safety for a larger population.