FDA Adverse Event Injury Summary report: N

SYNCHROMED

MDR report key: 1842108 · Received September 20, 2010

Report

Report Number
3007566237-2010-07103
Event Type
Injury
Date Received
September 20, 2010
Date of Event
September 14, 2010
Report Date
September 14, 2010
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE INFORMATION FROM THE ARTICLE OR TO MATCH THE EVENTS REPORTED WITH PREVIOUSLY REPORTED EVENTS. THE PATIENT INFORMATION PROVIDED IN SECTION A IS THE AVERAGE FOR ALL THE PATIENTS. AT THIS TIME NO ADDITIONAL INFORMATION WAS AVAILABLE; FOLLOW UP HAS BEEN REQUESTED.

Description of Event or Problem · 1

LITERATURE: QUINN SS, KRACH LE, WENDORF HR. INTRATHECAL BACLOFEN PUMPS: A REVIEW OF ADVERSE EVENTS AT (B)(6) CHILDREN'S SPECIALTY HEALTHCARE, 1996-1997 AND 2005-2006. SCIENTIFIC POSTER 36. SUMMARY: THE PURPOSE OF THIS STUDY IS TO COMPARE THE TYPE AND FREQUENCY OF ADVERSE EVENTS OVER A 2 YEAR PERIOD FOR INDIVIDUALS WITH INITIAL PUMP PLACEMENT IN 1996-1997 TO THOSE WITH INITIAL PLACEMENT IN 2005-2006. STUDY INCLUDED ALL PATIENTS WHO UNDERWENT INITIAL BACLOFEN PUMP AND CATHETER PLACEMENT FOR TONE MANAGEMENT AT A SPECIALTY CENTER FOR CHILDREN AND ADULTS WITH DISABILITIES FROM 1996-1997 (GROUP I, N=49) AND FROM 2005-2006 (GROUP II, N=45). MEDIAN AGE WAS 8 YEARS. THERE WAS 54 MALES AND 40 FEMALES. EVENT: THERE WERE A TOTAL OF SEVEN DEEP INFECTIONS, 3 IN GROUP 1 (6%) AND 4 IN GROUP II (9%). ALL REQUIRED PUMP EXPLANT. SIX PATIENTS IN GROUP I (12%) AND FIVE IN GROUP II (11%) REQUIRED CATHETER REVISION OR REPLACEMENT. ONLY ONE PATIENT HAD A PUMP COMPLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED LKK MEDTRONIC NEUROMODULATION PUMP NA

Patients

Seq Age Sex Outcome Treatment
1 8 YR Required Intervention CATHETER UNK| PROGRAMMER UNK