FDA Adverse Event Injury Summary report: N

SOLETRA

MDR report key: 1161217 · Received September 15, 2008

Report

Report Number
2182207-2008-05745
Event Type
Injury
Date Received
September 15, 2008
Report Date
August 19, 2008
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AR
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

JOURNAL REFERENCE: MERELLO M, TENCA E, LLORET SP, ET AL. PROSPECTIVE RANDOMIZED 1-YEAR FOLLOW-UP COMPARISON OF BILATERAL SUBTHALAMOTOMY VERSUS BILATERAL SUBTHALAMIC STIMULATION AND THE COMBINATION OF BOTH IN PARKINSON'S DISEASE PTS: A PILOT STUDY. BR J NEUROSURG. 2008;22(3):415-422. IT HAS BEEN SUGGESTED THAT POTENTIAL RISK OF HEMIBALLISMUS AFTER SUBTHALAMOTOMY MAKES DBS PREFERABLE TO ABLATION FOR IPD TREATMENT; HOWEVER, COST AND THE NEED FOR REGULAR ELECTRODE CONTROL HAVE ALSO BEEN OBSERVED AS DISADVANTAGES TO STIMULATION. THE OBJECTIVE WAS TO COMPARE EFFICACY AND SAFETY OF DIFFERENT SURGICAL APPROACHES TO STN, IN A PROSPECTIVE RANDOMIZED PILOT STUDY. THE 16 CONSECUTIVE IPD PTS RANDOMIZED TO RECEIVE EITHER: BILATERAL STN-DBS (BS GROUP), BILATERAL SUBTHALAMOTOMY (BL GROUP), OR UNILATERAL SUBTHALAMOTOMY PLUS CONTRALATERAL STN-DBS IMPLANTATION (L/S GROUP), AND FOLLOWED FOR 12 MONTHS AFTER SURGERY. REPORTABLE EVENT: A NEGATIVE EFFECT OF SURGERY WAS OBSERVED IN PART I OF THE UPDRS (MENTATION, BEHAVIOR AND MOOD) IN THE BL AND THE BS GROUPS (P<0.05, FRIEDMAN TEST), BUT NOT IN THE L/S GROUP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOLETRA MHY MEDTRONIC NEUROMODULATION 7426 NA

Patients

Seq Age Sex Outcome Treatment
1 Other PROGRAMMER MODEL UNK N=1| EXTENSION MODEL UNK N=2| LEAD MODEL 3389 N=2| IPG MODEL 7426 N=1