FDA Adverse Event Injury Summary report: N

OCTRODE LEAD

MDR report key: 18439888 · Received January 3, 2024

Report

Report Number
1627487-2024-00066
Event Type
Injury
Date Received
January 3, 2024
Report Date
January 16, 2024
Manufacturer
ABBOTT MEDICAL
Product Code
LGW
PMA / PMN Number
P010032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: EVENT DATE IS ESTIMATED.

Additional Manufacturer Narrative · 0

THE RESULTS OF THE INVESTIGATION ARE INCONCLUSIVE SINCE THE DEVICE WAS NOT RETURNED FOR ANALYSIS. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED INCIDENT COULD NOT BE CONCLUSIVELY DETERMINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT'S LEAD HAD MIGRATED CAUSING INEFFECTIVE STIMULATION. SURGICAL INTERVENTION WAS UNDERTAKEN, AND THE LEAD WAS EXPLANTED. MEDWATCH REPORT MW5148260 RECEIVED TO NMD COMPLAINTS ON 14DEC023. THE REASON FOR CALL WAS A WHILE AGO THE PATIENT HAD A STIMULATOR DONE BY ABBOTT AND IT MOVED AND WAS USELESS ON THEIR RIGHT SIDE. PATIENT HAD A BACK PROCEDURE WHERE THE STIMULATOR WAS IN THE WAY SO THEY REMOVED IT. PATIENT WAS TOLD BY THEIR DOCTOR THAT THEIR SYSTEM AND ABBOTT WERE VERY SIMILAR. PATIENT SAID THEY WERE TOLD THEY NEEDED DISCS 3 AND 4 SO THEY DID A SPINAL FUSION AND THAT WAS WHEN THEY REMOVED THE OTHER STIMULATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1506913 OCTRODE LEAD STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW ABBOTT MEDICAL NMD0001

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other