UNKNOWN DEEP BRAIN STIMULATOR
Report
- Report Number
- 3007566237-2010-08435
- Event Type
- Death
- Date Received
- October 25, 2010
- Date of Event
- August 1, 2010
- Report Date
- September 22, 2010
- Manufacturer
- MEDTRONIC NEUROMODULATION
- Product Code
- MHY
- PMA / PMN Number
- P960009
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
Narratives
(B)(4). IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE INFO FROM THE ARTICLE OR TO MATCH THE EVENTS REPORTED WITH PREVIOUSLY REPORTED EVENTS. IT IS ALSO POSSIBLE SEVERAL EVENTS OCCURRED IN ONE PT. THE PT INFO PROVIDED IN SECTION A IS THE AVERAGE FOR ALL THE PTS. AT THIS TIME, NO ADD'L INFO WAS AVAILABLE, ADD'L INFO HAS BEEN REQUESTED.
LITERATURE: BURDICK AP, FERNANDEZ HH, OKUN MS, CHI YY, JACOBSON C, FOOTE KD. RELATIONSHIP BETWEEN HIGHER RATES OF ADVERSE EVENTS IN DEEP BRAIN STIMULATION USING STANDARDIZED PROSPECTIVE RECORDING AND PT OUTCOMES. NEUROSURG FOCUS. AUG 2010;29(2):E4. SUMMARY: THE AUTHORS DISCLOSE THE STANDARDIZED AND PROSPECTIVELY RECORDED AE DATA FROM THEIR INSTITUTION BETWEEN (B)(6) 2002 AND (B)(6) 2008. TWO HUNDRED SEVENTY DBS PROCEDURES WERE PERFORMED IN 198 PTS; 26 PTS HAD DYSTONIA, 43 HAD ESSENTIAL TREMOR, 113 HAD PARKINSON DISEASE, 6 HAD OCD, AND 10 HAD OTHER CAUSES OF TREMOR. THE DBS LEADS WERE IMPLANTED ON THE LEFT HEMISPHERE IN 133 PROCEDURES, ON THE RIGHT IN 88, AND BILATERALLY IN 49. A TOTAL OF 300 AES WERE RECORDED IN 146 OF THE 270 PROCEDURES, AND THE AES WERE RECORDED IN 119 OF 198 PTS. NO SIGNIFICANT QOL DIFFERENCES. EVENT: THE FREQUENCY OF THE 300 ADVERSE EVENTS WERE AS FOLLOWS: MENTAL STATUS DECLINE 53, OTHER (UNSPECIFIED) 43, GAIT PROBLEM 21, OTHER MOTOR PROBLEM 20, SEIZURE 16, ICH (SYMPTOMATIC) 16, LEAD MISPLACEMENT 15, SPEECH-APHASIA 13, SPEECH-DYSARTHRIA 11, SUBDURAL/OTHER BLEED 11, MANIA/HYPOMANIA 8, INFECTION, DEEP (HARDWARE REMOVAL) 7, AIR EMBOLUS 6, SPEECH-HYPOPHONIA 6, DEPRESSION 6, INFECTION, DEEP (REVISION, IV ANTIBIOTICS) 5, SWALLOW PROBLEM 5, ANXIETY 5, INCONTINENCE 4, VISUAL PROBLEM 4, INFECTION, SUPERFICIAL (ORAL ANTIBIOTICS) 4, HARDWARE MALFUNCTION (OTHER) 4, DEATH 2, HARDWARE MALFUNCTION (FRACTURE) 2, HYDROCEPHALUS 2, NEUROLOGICAL DEFICIT (OTHER) 2, STROKE 2, SCALP EROSION 2, SUICIDAL IDEATION 2, IPG SEROMA 1, OTHER SENSORY PROBLEM 1 AND PSYCHOGENIC DISORDER 1. SEE ATTACHED LITERATURE ARTICLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN DEEP BRAIN STIMULATOR | MHY | MEDTRONIC NEUROMODULATION | IPGNEURO | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Death| R | UNK LEADS| UNK EXTENSIONS| UNK PROGRAMMERS |