FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 1023429 · Received April 2, 2008

Report

Report Number
2182207-2008-01707
Event Type
Injury
Date Received
April 2, 2008
Report Date
November 11, 2007
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
UNK
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING SUBMITTED FOLLOWING AN INTERNAL AUDIT.

Description of Event or Problem · 1

LITERATURE: PARR "DEEP BRAIN STIMULATION IN CHILDHOOD: AN EFFECTIVE TREATMENT FOR EARLY ONSET IDIOPATHIC GENERALIZED DYSTONIA" 2007/92/8/708-11. CASE 3 SUFFERED A CLINICAL DETERIORATION REQUIRING EMERGENCY BATTERY REPLACEMENT 2 YEARS POSTOPERATIVELY SECONDARY TO AN EXPIRED BATTERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK MHY MEDTRONIC NEUROMODULATION IPGNEURO NA

Patients

Seq Age Sex Outcome Treatment
1 8 YR Required Intervention EXTENSION MODEL EXTENSION LOT # UNK IMPLANTED| LEAD MODEL LEADMVD LOT # UNK IMPLANTED| EXPLANTED| PROGRAMMER MODEL PROGRAMMER LOT # UNK IMPLANTED| EXPLANTED| EXPLANTED| EXTENSION MODEL EXTENSION MVD LOT # UNK IMPLANTED| EXPLANTED| LEAD MODEL LEADMVD LOT # UNK IMPLANTED| EXPLANTED