FDA Adverse Event Malfunction Summary report: N

INTERSTIM

MDR report key: 12356686 · Received August 23, 2021

Report

Report Number
2182207-2021-01461
Event Type
Malfunction
Date Received
August 23, 2021
Date of Event
February 15, 2021
Report Date
August 23, 2021
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
EZW
PMA / PMN Number
P970004
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PLEASE NOTE THAT THIS DATE IS BASED OFF OF THE DATE OF PUBLICATION OF THE ARTICLE AS THE EVENT DATES WERE NOT PROVIDED IN THE PUBLISHED LITERATURE. CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID: NEU_UNKNOWN_LEAD, SERIAL#: UNKNOWN, PRODUCT TYPE: LEAD. PRODUCT ID: NEU_INTERSTIM_INS, SERIAL#: UNKNOWN, PRODUCT TYPE: IMPLANTABLE NEUROSTIMULATOR. OTHER RELEVANT DEVICE(S) ARE: PRODUCT ID: NEU_UNKNOWN_LEAD, SERIAL/LOT #: UNKNOWN. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MASOOD. I., CHEN. Q., LI. J, ET AL. SACRAL NEUROMODULATION IN PATIENTS WITH NEUROGENIC LOWER URINARY TRACT DYSFUNCTION: A MULTICENTER RETROSPECTIVE STUDY FROM CHINA. NEUROMODULATION. 2021. DOI: 10.1111/NER.13383 SUMMARY: THIS RETROSPECTIVE STUDY AIMED TO DETERMINE THE EFFECTIVENESS OF SACRAL NEUROMODULATION (SNM) ON NEUROGENIC LOWER URINARY TRACT DYSFUNCTION (NLUTD) AND ANALYZE THE PREDICTIVE FACTORS. MATERIALS AND FROM JANUARY 2012 TO JANUARY 2020, 152 SUBJECTS WITH NLUTD FROM FOUR MEDICAL CENTERS IN CHINA RECEIVED SNM TEST STIMULATION. SUBJECTS WERE ASSESSED VIA BLADDER DIARIES, POSTVOID RESIDUAL VOLUMES (PRVS) AND NEUROGENIC BOWEL DYSFUNCTION (NBD) SCORES BEFORE AND DURING THE TESTING PERIOD. PATIENTS WHO SHOWED A MINIMUM 50% IMPROVEMENT IN SYMPTOMS THROUGH THE SNM TEST PHASE WERE ELIGIBLE FOR PERMANENT SNM IMPLANTATION. THE POOLED SUCCESS RATE FOR CHRONIC URINARY RETENTION WAS 31.0% (40/129), WHICH WAS SIGNIFICANTLY LOWER (P <(><<)> 0.05) THAN THE RATES FOR FREQUENCY-URGENCY (64.8%, 59/91), URINARY INCONTINENCE (65.2%, 30/46), AND NBD SCORE (61.7%, 82/133). THE RESULTS OF THE RISK FACTOR ANALYSIS SHOWED THAT THE URINARY STORAGE SYMPTOM WAS A STATISTICALLY SIGNIFICANT POSITIVE PREDICTOR (P = 0.001). IN CONCLUSION, SNM IS AN EFFECTIVE AND RELIABLE METHOD FOR TREATING NLUTD, ESPECIALLY IN PATIENTS WITH URINARY STORAGE SYMPTOMS. ALTHOUGH NOT ALL OF THE SYMPTOMS IN EVERY PATIENT CAN BE RESOLVE, SNM STILL MIGHT BE A SUPERIOR CHOICE TOGETHER WITH OTHER TREATMENT PROCEDURES. REPORTED EVENT: 1: FOUR PATIENTS WITH ELECTRODE DISLOCATION. 2: THREE PATIENTS WITH IPG FAILURE. NO SPECIFIC DEVICE INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1252214 INTERSTIM STIMULATOR, ELECTRICAL, IMPLANTABLE, FOR INCON EZW MEDTRONIC NEUROMODULATION NEU_INTERSTIM_INS

Patients

Seq Age Sex Outcome Treatment
1