FDA Adverse Event Death Summary report: N

ITREL

MDR report key: 1125284 · Received August 19, 2008

Report

Report Number
2950887-2008-05051
Event Type
Death
Date Received
August 19, 2008
Report Date
May 20, 2007
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LNQ
PMA / PMN Number
H990014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT IS BEING SUBMITTED FOLLOWING AN INTERNAL AUDIT.

Description of Event or Problem · 1

LITERATURE REFERENCE: ANDERSON S, ET AL. "GASTRIC ELECTRICAL STIMULATION FOR INTRACTABLE VOMITING IN PTS WITH CHRONIC INTESTINAL PSEUDOOBSTRUCTION". NEUROGASTROENTEROL MOTIL 2006; 18(9):823-30. PT DIARIES, HOSPITAL RECORDS AND INVESTIGATION RESULTS BEFORE AND AFTER TREATMENT WERE STUDIED AND COMPARED TO EVALUATE THE LONG-TERM EFFECT OF GASTRIC ELECTRICAL STIMULATION (GES). ONE PT WITH MULTIORGANIC DISEASE DIED WITHIN 1 MONTH AFTER IMPLANTATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ITREL LNQ MEDTRONIC NEUROMODULATION 7424 OR 7425 NA

Patients

Seq Age Sex Outcome Treatment
1 Death EXPLANTED| LEAD (X2) MODEL 4300 LOT# UNK| IMPLANTED