FDA Adverse Event Death Summary report: N

UNK DEEP BRAIN STIMULATOR

MDR report key: 1914902 · Received December 1, 2010

Report

Report Number
3007566237-2010-10086
Event Type
Death
Date Received
December 1, 2010
Date of Event
October 1, 2010
Report Date
November 22, 2010
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, 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 PT INFORMATION PROVIDED IN SECTION A IS THE AVERAGE FOR ALL THE PTS. AT THIS TIME, NO ADDITIONAL INFORMATION WAS AVAILABLE, ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Description of Event or Problem · 1

LITERATURE: BRONTE-STEWART H, LOUIE S, BATYA S, HENDERSON JM. CLINICAL MOTOR OUTCOME OF BILATERAL SUBTHALAMIC NUCLEUS DEEP-BRAIN STIMULATION FOR PARKINSON'S DISEASE USING IMAGE-GUIDED FRAMELESS STEREOTAXY. NEUROSURGERY. OCT 2101;67(4):1088-1093; DISCUSSION 1093. SUMMARY: THE AUTHORS REPORTED ON A GROUP OF 20 MEN AND 11 WOMEN WITH PARKINSON'S DISEASE (MEAN AGE OF 62 YEARS). TWENTY-EIGHT SUBJECTS HAD BILATERAL SUBTHALAMIC NUCLEUS (STN) DEEP BRAIN STIMULATION (DBS) AND 3 HAD UNILATERAL STN DBS USING A FRAMELESS APPROACH. THE AUTHORS INDICATED THAT THEIR OUTCOMES RESULTS ARE COMPARABLE TO THOSE REPORTED WITH THE USE OF THE FRAME-BASED TECHNIQUE. ALL PTS HAD POSTOPERATIVE CT SCANS WITHIN 6 HOURS OF THE PROCEDURE; MILD PNEUMOCEPHALUS WAS COMMON, BUT THERE WERE NO INTRACRANIAL HEMORRHAGES. REPORTABLE EVENT: ONE PT WITH PREMORBID SEVERE HYPERTENSION HAD A NORMAL POSTOPERATIVE CT SCAN AND NORMAL NEUROLOGICAL EXAMINATION 5 HOURS POST-DBS LEAD IMPLANTATION, BUT BECAME UNRESPONSIVE DURING THE FIRST POSTOPERATIVE NIGHT. REPEAT CT SCAN REVEALED A RIGHT FRONTAL PARENCHYMAL HEMORRHAGE AT THE ENTRY SITE OF THE LEAD WITH EXTENSION ALONG THE TRACK, BUT NO INTRAVENTRICULAR EXTENSION. THE PT WAS INITIALLY INTUBATED AND SUPPORTED BUT THE FAMILY REQUESTED REMOVAL OF ALL LIFE SUPPORT BASED ON THE PT'S PREOPERATIVE WISHES. HE DIED 6 DAYS LATER AND THE FAMILY REFUSED AN AUTOPSY.

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 62 YR Death EXTENSION: MODEL EXTENSION MVD, LOT# UNK| IMPLANTED:| EXPLANTED:| IMPLANTED:| EXPLANTED:| LEAD: MODEL LEADMVD, LOT# UNK