FDA Adverse Event Injury Summary report: N

ARTISAN

MDR report key: 15946548 · Received December 8, 2022

Report

Report Number
3006630150-2022-06888
Event Type
Injury
Date Received
December 8, 2022
Date of Event
November 7, 2022
Report Date
January 20, 2023
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
UDI-DI
08714729779919
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS, UPN: (B)(4), MODEL: SC-8216-70, SERIAL: (B)(4), BATCH: 7072133.

Additional Manufacturer Narrative · 0

DEVICE ANALYSIS WAS NOT PERFORMED ON THE EXPLANTED PADDLE LEADS AS THEY WERE NOT RETURNED AND WERE RETAINED BY THE MEDICAL FACILITY. HOWEVER, IMAGING WAS TAKEN IN THE FIELD OF THE EXPLANTED PADDLE LEADS. THEREFORE, ENGINEERS WERE ABLE TO CONFIRM THAT THE PADDLE LEADS WERE CUT/DAMAGED. A REVIEW OF THE INSTRUCTIONS FOR USE (IFU) AFFIRMED THAT LEAD MIGRATION LIKELY RESULTING IN INADEQUATE STIMULATION IS A KNOWN INHERENT RISK WITH THE USE OF SPINAL CORD STIMULATION (SCS). BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS; UPN: M365SC8216700; MODEL: SC-8216-70; SERIAL: (B)(6); BATCH: 7072133.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPINAL CORD STIMULATION (SCS) PATIENT EXPERIENCED INADEQUATE THERAPY AND X-RAYS CONFIRMED THE PADDLE LEADS HAD MIGRATED DOWNWARDS. THEREFORE, THE PATIENT UNDERWENT A REVISION PROCEDURE TO REPOSITION BOTH LEADS. DURING THE PROCEDURE, THE PHYSICIAN USED A NON-BOSTON SCIENTIFIC PLASMA BLADE TO MAKE AN INCISION IN THE PATIENTS NECK IN ORDER TO ACCESS THE PADDLE LEADS. A COMMUNICATION ERROR MESSAGE THEN APPEARED ON THE REMOTE CONTROL DURING AN ATTEMPT TO CHECK THE LEADS IMPEDANCES INTRAOPERATIVELY. THERE WAS VISIBLE DAMAGE TO SEVERAL CONTACTS ON BOTH PADDLE LEADS WHERE THE CONTACTS APPEARED TO BE LOOSE FROM EACH PADDLE. THEREFORE, BOTH PADDLE LEADS WERE REPLACED INSTEAD OF REPOSITIONED AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO PATIENT COMPLICATIONS POSTOPERATIVELY. THE DEVICES WERE RETAINED BY THE MEDICAL FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPINAL CORD STIMULATION (SCS) PATIENT EXPERIENCED INADEQUATE THERAPY AND X-RAYS CONFIRMED THE PADDLE LEADS HAD MIGRATED DOWNWARDS. THEREFORE, THE PATIENT UNDERWENT A REVISION PROCEDURE TO REPOSITION BOTH LEADS. DURING THE PROCEDURE, THE PHYSICIAN USED A NON-BOSTON SCIENTIFIC PLASMA BLADE TO MAKE AN INCISION IN THE PATIENTS NECK IN ORDER TO ACCESS THE PADDLE LEADS. A COMMUNICATION ERROR MESSAGE THEN APPEARED ON THE REMOTE CONTROL DURING AN ATTEMPT TO CHECK THE LEADS IMPEDANCES INTRAOPERATIVELY. THERE WAS VISIBLE DAMAGE TO SEVERAL CONTACTS ON BOTH PADDLE LEADS WHERE THE CONTACTS APPEARED TO BE LOOSE FROM EACH PADDLE. THEREFORE, BOTH PADDLE LEADS WERE REPLACED INSTEAD OF REPOSITIONED AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO PATIENT COMPLICATIONS POSTOPERATIVELY. THE DEVICES WERE RETAINED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2842991 ARTISAN STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION SC-8216-70 7072020 08714729779919

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention