FDA Adverse Event Injury Summary report: N

UNK DEEP BRAIN STIMULATOR

MDR report key: 1895269 · Received November 8, 2010

Report

Report Number
3007566237-2010-09026
Event Type
Injury
Date Received
November 8, 2010
Date of Event
April 1, 2010
Report Date
October 6, 2010
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). AT THIS TIME NO ADDITIONAL INFORMATION WAS AVAILABLE, ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Description of Event or Problem · 1

HARDWARE ADVERSE EVENTS IN A SERIES OF 141 PATIENTS UNDERGOING SUBTHALAMIC DEEP BRAIN STIMULATION FOR PARKINSON DISEASE. WORD NEUROSURG. APR 2010; 73(4):338-344. SUMMARY: THE AUTHORS REPORTED A SINGLE CENTER, RETROSPECTIVE ANALYSIS OF COMPLICATIONS IN A LARGE POPULATION OF PARKINSONIAN PATIENTS WITH A LONG-TERM FOLLOW-UP (MEAN, 4.6 YEARS). A TOTAL OF 141 PATIENTS UNDERWENT BILATERAL SUBTHALAMIC NUCLEUS (STN) DEEP BRAIN STIMULATION (DBS) BETWEEN NOVEMBER 1998 AND DECEMBER 2007. IN THIS SERIES, NEITHER SEIZURES NOR EXTRADURAL/SUBDURAL HEMATOMAS WERE OBSERVED. REPORTABLE EVENT: ONE PATIENT HAD A MAJOR INFECTION THAT STARTED FROM THE IPG AND RAPIDLY EXTENDED ALONG THE EXTENSION WIRES. PSEUDOMONAS AERUGINOSA WAS ISOLATED FROM THE HARDWARE AND IN THE SURROUNDING TISSUE; BOTH THE IPG AND THE EXTENSION WIRES WERE REMOVED TO ACHIEVE INFECTION HEALING AND TO PREVENT INTRACRANIAL DISSEMINATION OF THE INFECTION. ANTIBIOTIC THERAPY WAS MAINTAINED FOR AT LEAST 3 WEEKS. THIS PATIENT WAS REOPERATED, WITH A SUCCESSFUL REPRISE OF STN DBS. THIS COMPLICATION REQUIRED A LONGER IN-HOSPITAL STAY FOR THE PATIENT; HOWEVER, THE PATIENT DID NOT SHOW SIGNIFICANT COMORBIDITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK DEEP BRAIN STIMULATOR MHY MEDTRONIC NEUROMODULATION IPGNEURO NA

Patients

Seq Age Sex Outcome Treatment
1 56 YR Hospitalization| R EXPLANTED:| LEAD: MODEL #3389, LOT #UNK| IMPLANTED:| PROGRAMMER: MODEL #PROGRAMMER, LOT #UNK| EXTENSION: MODEL #EXTENSION MVD, LOT #UNK| EXPLANTED:| IMPLANTED: