FDA Adverse Event Injury Summary report: N

IPG

MDR report key: 1082559 · Received July 25, 2008

Report

Report Number
2182207-2008-04383
Event Type
Injury
Date Received
July 25, 2008
Report Date
July 1, 2008
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
EZW
PMA / PMN Number
P970004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

SEE SCANNED PAGES.

Description of Event or Problem · 1

JOURNAL REFERENCE: KESSLER, T.M., ET AL., "SACRAL NEUROMODULATION FOR REFRACTORY LOWER URINARY TRACT DYSFUNCTION: RESULTS OF A NATIONWIDE REGISTRY IN A FOREIGN COUNTRY" EUROPEAN UROLOGY, (2007) 51: 1357-63. THE ARTICLE DISCUSSES THE TREATMENTS AND OUTCOMES OF 209 PATIENTS. ADVERSE EVENTS WERE RECORDED DURING THE INITIAL TEST PHASE AND/OR DURING OR FOLLOWING TRADITIONAL ONE-STAGE TECHNIQUE. REPORTABLE EVENT: AFTER THE IMPLANT OF THE IPG, ONE PT EXPERIENCED THE IPG MIGRATING, WHICH REQUIRED SURGERY TO REVISE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention LEAD MODEL UNK N=1| PROGRAMMER MODEL UNK N=1