FDA Adverse Event Injury Summary report: N

DEEP BRAIN STIMULATOR

MDR report key: 1161222 · Received September 15, 2008

Report

Report Number
2182207-2008-05758
Event Type
Injury
Date Received
September 15, 2008
Report Date
August 20, 2008
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

SEE SCANNED PAGES.

Description of Event or Problem · 1

LITERATURE: TRINGALI G, BROGGI G. REVERSIBLE NEUROLOGICAL SYMPTOMS CAUSED BY DIATHERMY IN A PT WITH DEEP BRAIN STIMULATORS: CASE REPORT - COMMENTARY ON ARTICLE. NEUROSURGERY. 2008;62(1):E256. REPORTABLE EVENT: THE AUTHORS OF THE ARTICLE COMMENTARY DISCUSSED A MALE PT, IMPLANTED FOR CHRONIC CLUSTER HEADACHE WHO REPORTED AN ELECTRIC SHOCK FROM A HOME ACCIDENT WITH SUDDEN LOSS OF CONSCIOUSNESS. HE HAD BEEN IMMEDIATELY REFERRED TO THEIR DEPARTMENT. AT THE TIME OF HOSPITALIZATION, HE HAD ALREADY RECOVERED CONSCIOUSNESS. AN MRI SCAN OBTAINED AFTER APPROX. 1 HOUR DID NOT DEMONSTRATE ANY INJURES SUCH AS THAT REPEATED AT 1 MONTH. HIS IMMEDIATE POST IMPLANT MRI SCAN DID NOT SHOW ANY SIGNAL ALTERATION, SO THEY SUPPOSED THAT EDEMA CAN PLAY A PIVOTAL ROLE IN THE SPREADING OF THE CURRENT.

Devices

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

Patients

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