FDA Adverse Event Injury Summary report: N

ARTISAN

MDR report key: 17736345 · Received September 13, 2023

Report

Report Number
3006630150-2023-05524
Event Type
Injury
Date Received
September 13, 2023
Date of Event
August 13, 2023
Report Date
December 11, 2023
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
UDI-DI
08714729779902
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-PC, UPN: M365SC14320, MODEL: SC-1432, SERIAL: (B)(6), LOT: 211861.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-PC. UPN: M365SC14320. MODEL: SC-1432. SERIAL: (B)(6). LOT: 211861.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-PC; UPN: M365SC14320; MODEL: SC-1432; SERIAL: (B)(6); LOT: 211861.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT HAD BEEN SENT HOME AFTER A SPINAL CORD STIMULATION IMPLANT PROCEDURE WITH INSTRUCTIONS TO NOT TAKE HIS BLOOD THINNERS FOR FIVE DAYS, HOWEVER, THE PATIENT TOOK THE BLOOD THINNERS THREE DAYS AFTER THE PROCEDURE. THE PATIENT THEN FELL AND LOST FEELING IN HIS LEGS. THE PATIENT WENT TO THE EMERGENCY ROOM, WAS THEN FLOWN TO A FACILITY WHERE THE PADDLE LEAD AND IMPLANTABLE PULSE GENERATOR (IPG) WERE EXPLANTED, AND THEN MOVED TO THE INTENSIVE CARE UNIT. THE DEVICES WILL NOT BE RETURNED AS THEY WERE DISPOSED OF BY THE MEDICAL FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT HAD BEEN SENT HOME AFTER A SPINAL CORD STIMULATION IMPLANT PROCEDURE WITH INSTRUCTIONS TO NOT TAKE HIS BLOOD THINNERS FOR FIVE DAYS, HOWEVER, THE PATIENT TOOK THE BLOOD THINNERS THREE DAYS AFTER THE PROCEDURE. THE PATIENT THEN FELL AND LOST FEELING IN HIS LEGS. THE PATIENT WENT TO THE EMERGENCY ROOM, WAS THEN FLOWN TO A FACILITY WHERE THE PADDLE LEAD AND IMPLANTABLE PULSE GENERATOR (IPG) WERE EXPLANTED, AND THEN MOVED TO THE INTENSIVE CARE UNIT. THE DEVICES WILL NOT BE RETURNED AS THEY WERE DISPOSED OF BY THE MEDICAL FACILITY. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT WAS DISCHARGED FROM THE HOSPITAL AND ADMITTED TO A LONGER-TERM PHYSICAL THERAPY FACILITY. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT SUFFERS FROM PARALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT HAD BEEN SENT HOME AFTER A SPINAL CORD STIMULATION IMPLANT PROCEDURE WITH INSTRUCTIONS TO NOT TAKE HIS BLOOD THINNERS FOR FIVE DAYS, HOWEVER, THE PATIENT TOOK THE BLOOD THINNERS THREE DAYS AFTER THE PROCEDURE. THE PATIENT THEN FELL AND LOST FEELING IN HIS LEGS. THE PATIENT WENT TO THE EMERGENCY ROOM, WAS THEN FLOWN TO A FACILITY WHERE THE PADDLE LEAD AND IMPLANTABLE PULSE GENERATOR (IPG) WERE EXPLANTED, AND THEN MOVED TO THE INTENSIVE CARE UNIT. THE DEVICES WILL NOT BE RETURNED AS THEY WERE DISPOSED OF BY THE MEDICAL FACILITY. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT WAS DISCHARGED FROM THE HOSPITAL AND ADMITTED TO A LONGER TERM PHYSICAL THERAPY FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
83969 ARTISAN STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION SC-8216-50 7074498 08714729779902

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male Other| H| R