FDA Adverse Event
Injury
Summary report: N
ENTERRA
MDR report key: 1406106
·
Received June 19, 2009
Report
- Report Number
- 2182207-2009-04278
- Event Type
- Injury
- Date Received
- June 19, 2009
- Date of Event
- May 1, 2009
- Report Date
- May 22, 2009
- Manufacturer
- MEDTRONIC NEUROMODULATION
- Product Code
- LNQ
- PMA / PMN Number
- H990014
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PT EXPERIENCED SEIZURES THE DAY AFTER THEIR DEVICE WAS IMPLANTED. THE PT HAD NO PRIOR HISTORY OF SEIZURES. THE PT WAS IN INTENSIVE CARE UNIT AND WAS INTUBATED. THE PATIENT'S EEG AND CT SCAN WER ENORMAL. THE PT WAS PUT ON ANTI-SEIZURE MEDICATION AND WAS DISCHARGED FROM THE HOSPITAL. FURTHER INFO IS BEGIN REQUESTED FROM THE HCP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ENTERRA | LNQ | MEDTRONIC NEUROMODULATION | 3116 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention | EXPLANTED:| LEAD: MODEL UNKNOWN| EXPLANTED:| LEAD: MODEL UNKNOWN |