FDA Adverse Event Malfunction Summary report: N

INTELLIS

MDR report key: 19003564 · Received March 29, 2024

Report

Report Number
3004209178-2024-08113
Event Type
Malfunction
Date Received
March 29, 2024
Date of Event
February 14, 2024
Report Date
July 12, 2024
Manufacturer
MEDTRONIC PUERTO RICO OPERATIONS CO.
Product Code
LGW
UDI-DI
00643169781702
PMA / PMN Number
P840001
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CONTINUATION OF D10: PRODUCT ID 97745 LOT# SERIAL# (B)(6) PRODUCT TYPE PROGRAMMER, PATIENT SECTION D INFORMATION REFERENCES THE MAIN COMPONENT OF THE SYSTEM. OTHER RELEVANT DEVICE(S) ARE: PRODUCT ID: 97745, SERIAL/LOT #: (B)(6), UDI#: (B)(4). MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

CONTINUATION OF D10: PRODUCT ID: 97745, SERIAL# (B)(6), PRODUCT TYPE: PROGRAMMER, PATIENT. H3: ANALYSIS OF THE 97745 CONTROLLER (PTM) (SERIAL NUMBER (B)(6)) REVEALED BLANK/WHITE/PIXEL MULTICOLOR/NO DISPLAY ON LCD. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

PATIENT WEIGHT OBTAINED MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

CORRECTION: G3. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED FROM A PATIENT (PT) REGARDING AN EXTERNAL DEVICE. 97745 NLD096608N 97745BP THE REASON FOR CALL WAS LAST NIGHT THE PT WAS RECHARGING THE INS BATTERY LAST NIGHT THEN GOT SOFTWARE PROBLEM 1.INTELLIS 2.3.6 3.1546 4.APPMANAGER.C DURING CALL PT RESET THE CONTROLLER THE TROUBLESHOOTING STEPS THAT WERE TAKEN ON THE CALL RESOLVED THE ISSUE. PATIENT CALLED BACK AND STATED THAT LAST NIGHT THEIR CONTROLLER POPPED UP WITH AN ERROR MESSAGE TO CALL MEDTRONIC AND THEN WENT BLANK. PATIENT STATED THEY THINK IT WAS THE SAME MESSAGE THEY SAW LAST TIME THEY CALLED, BUT THEY CAN'T REMEMBER ALL THE DETAILS. PATIENT NOTED THE CONTROLLER HAS BEEN ACTING UP FOR ABOUT A WEEK NOW WHERE IT WILL COME ON AND OFF SEVERAL TIMES. PATIENT NOTED THAT ONE TIME THEY WERE WALKING ACROSS THE PARKING LOT AND IT KICKED ON TO HIGH GEAR AND THEY COULD BARELY WALK. AGENT UNDERSTOOD PATIENT WAS REFERENCING THE STIMULATION COMING ON AND OFF AND ASKED PATIENT TO CLARIFY; PATIENT STATED IT HAPPENS COMPLETELY RANDOMLY AND NOT IN RELATION TO ANY POSITIONS OR ACTIVITIES BUT NOTED THAT IF THEY LAY BACK THEY GET REALLY JOLTED. PATIENT STATED THEY DON'T EVEN KNOW IF THE STIMULATION IS ON NOW BECAUSE THE CONTROLLER WON'T COME ON. AGENT WALKED PATIENT THROUGH REMOVING THE BATTERY PACK AND PLUGGING CONTROLLER INTO THE AC POWER CORD; CONFIRMED CONTROLLER POWERS ON. PATIENT INSERTED THE BATTERY PACK AND CONFIRMED CONTROLLER IS 0% AND IMPLANT IS 80%. PATIENT CONFIRMED THE CONTROLLER WAS RECHARGING AND STIMULATION IS ON. PATIENT NOTED THAT THEY USED TO AD JUST THE INTENSITY LEVELS WITH 0.2 INCREMENTS BUT NOW IT'S 0.1 INCREMENTS. PATIENT NOTED THEY DON'T WANT TO BE IN A SITUATION WHERE THE CONTROLLER IS UNRESPONSIVE WHEN THEY NEED TO CHANGE THEIR SETTINGS. AN EMAIL WAS SENT TO REPAIR TO REPLACE THE CONTROLLER.

Description of Event or Problem · 0

PATIENT REPORTED DEVICE WAS SURGING FROM HIGH TO LOW STIMULATION AND IT WAS VERY PAINFUL. IS WAS NOT MAINTAINING A SETTING. PATIENT REPORTED THAT ISSUE HAS BEEN RESOLVED WITH REPLACEMENT.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED FROM A PATIENT (PT) REGARDING AN EXTERNAL DEVICE. 97745 NLD096608N 97745BP THE REASON FOR CALL WAS LAST NIGHT THE PT WAS RECHARGING THE INS BATTERY LAST NIGHT THEN GOT SOFTWARE PROBLEM 1.INTELLIS 2.3.6 3.1546 4.APPMANAGER.C DURING CALL PT RESET THE CONTROLLER THE TROUBLESHOOTING STEPS THAT WERE TAKEN ON THE CALL RESOLVED THE ISSUE. PATIENT CALLED BACK AND STATED THAT LAST NIGHT THEIR CONTROLLER POPPED UP WITH AN ERROR MESSAGE TO CALL MEDTRONIC AND THEN WENT BLANK. PATIENT STATED THEY THINK IT WAS THE SAME MESSAGE THEY SAW LAST TIME THEY CALLED, BUT THEY CAN'T REMEMBER ALL THE DETAILS. PATIENT NOTED THE CONTROLLER HAS BEEN ACTING UP FOR ABOUT A WEEK NOW WHERE IT WILL COME ON AND OFF SEVERAL TIMES. PATIENT NOTED THAT ONE TIME THEY WERE WALKING ACROSS THE PARKING LOT AND IT KICKED ON TO HIGH GEAR AND THEY COULD BARELY WALK. AGENT UNDERSTOOD PATIENT WAS REFERENCING THE STIMULATION COMING ON AND OFF AND ASKED PATIENT TO CLARIFY; PATIENT STATED IT HAPPENS COMPLETELY RANDOMLY AND NOT IN RELATION TO ANY POSITIONS OR ACTIVITIES BUT NOTED THAT IF THEY LAY BACK THEY GET REALLY JOLTED. PATIENT STATED THEY DON'T EVEN KNOW IF THE STIMULATION IS ON NOW BECAUSE THE CONTROLLER WON'T COME ON. AGENT WALKED PATIENT THROUGH REMOVING THE BATTERY PACK AND PLUGGING CONTROLLER INTO THE AC POWER CORD; CONFIRMED CONTROLLER POWERS ON. PATIENT INSERTED THE BATTERY PACK AND CONFIRMED CONTROLLER IS 0% AND IMPLANT IS 80%. PATIENT CONFIRMED THE CONTROLLER WAS RECHARGING AND STIMULATION IS ON. PATIENT NOTED THAT THEY USED TO AD JUST THE INTENSITY LEVELS WITH 0.2 INCREMENTS BUT NOW IT'S 0.1 INCREMENTS. PATIENT NOTED THEY DON'T WANT TO BE IN A SITUATION WHERE THE CONTROLLER IS UNRESPONSIVE WHEN THEY NEED TO CHANGE THEIR SETTINGS. AN EMAIL WAS SENT TO REPAIR TO REPLACE THE CONTROLLER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2592830 INTELLIS STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR LGW MEDTRONIC PUERTO RICO OPERATIONS CO. 97715 00643169781702

Patients

Seq Age Sex Outcome Treatment
1 88 YR Female "SEE H11...."