FDA Adverse Event Injury Summary report: N

ENTERRA

MDR report key: 1150423 · Received September 5, 2008

Report

Report Number
3004209178-2008-05486
Event Type
Injury
Date Received
September 5, 2008
Date of Event
November 1, 2006
Report Date
August 7, 2008
Manufacturer
MEDTRONIC PUERTO RICO OPERATIONS CO.
Product Code
LNQ
PMA / PMN Number
HDE99015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
DC, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

SEE ALSO MANUFACTURER REPORTS 3004209178200600945 AND 3004209178200805491. IT WAS REPORTED THAT SINCE THE PATIENT'S DEVICE WAS RELOCATED FROM THE LEFT TO THE RIGHT SIDE OF HER BODY IN 2006 SHE HAS HAD PERSISTENT SEVERE ABDOMINAL PAIN. IN SEVEN MONTHS LATER, THE PATIENT'S LEADS WERE REPLACED AND REPOSITIONED. AFTER APPROXIMATELY SIX HOURS THE SURGERY WAS COMPLETE AND THE PATIENT WAS PLACED INTO INTENSIVE CARE. HER CHEST FELT HEAVY AND NUMB, AND HER LEGS WERE NUMB AS WELL. SHE EXPERIENCED MAJOR TACHYCARDIA, SPASTICITY, AND TREMORS. SHE WAS ON OXYGEN AND HAD DIFFICULTY TIME BREATHING. FOLLOW-UP WITH THE PHYSICIAN REVEALED THAT A PULMONARY EMBOLISM WAS RULED OUT AND THE PATIENT WAS DOING BETTER AND STABILIZED. SCOPOLAMINE HAD BEEN ADMINISTERED TO THE PATIENT AND THE PHYSICIAN BELIEVED THIS WAS THE CAUSE OF THE TACHYCARDIA. NO FURTHER INFORMATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENTERRA LNQ MEDTRONIC PUERTO RICO OPERATIONS CO. 3116 NA

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| L| R IMPLANTED:| STIM ACCESSORY MODEL 4351 LOT# NHT004462N| IMPLANTED:| STIM ACCESSORY MODEL 4351 LOT# NHT004461N| EXPLANTED:| EXPLANTED: