FDA Adverse Event Injury Summary report: N

UNKNOWN SPINAL CORD STIMULATOR

MDR report key: 1971571 · Received January 25, 2011

Report

Report Number
3007566237-2011-00606
Event Type
Injury
Date Received
January 25, 2011
Date of Event
December 1, 2010
Report Date
January 3, 2011
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P840001
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

LITERATURE: TOMYCZ ND, ORTIZ V, MOOSSY JJ. SIMULTANEOUS INTRATHECAL OPIOID PUMP AND SPINAL CORD STIMULATION FOR PAIN MANAGEMENT: ANALYSIS OF 11 PTS WITH FAILED BACK SURGERY SYNDROME. J PAIN PALLIAT CARE PHARMACOTHER. DEC 2010;24(4):374-383. SUMMARY: THE AUTHORS PERFORMED A RETROSPECTIVE REVIEW OF 11 PTS (8 MEN, 3 WOMEN) WITH FAILED BACK SURGERY SYNDROME (FBSS) WHO UNDERWENT NONSIMULTANEOUS SURGICAL IMPLANTATION OF BOTH AN INTRATHECAL OPIOID PUMP (IOP) AND A THORACIC SPINAL CORD STIMULATOR (SCS). CHART REVIEW AND STRUCTURED PHONE INTERVIEWS WERE PERFORMED TO OBTAIN F/U. OF THE TWO MODALITIES, 3 PTS (27%) HAD AN IOP PLACED FIRST AND 8 PTS (73%) HAD AN SCS IMPLANTED INITIALLY. MEAN F/U WAS 41.7 MONTHS (3-97 MONTHS). ALL 11 PTS (100%) STATED THAT THE DUAL-MODALITY TREATMENT IMPROVED THEIR QUALITY OF LIFE AND ALL CONTINUE TO USE BOTH AN IOP AND SCS FOR PAIN CONTROL. SIX PTS (55%) FELT THAT THE IOP PROVIDED SUPERIOR PAIN RELIEF AS COMPARED TO THE SCS, 4 PTS (36%) FELT THAT IOP AND SCS PROVIDED A SIMILAR DEGREE OF PAIN RELIEF, AND 1 PT (9%) SAID THE SCS PROVIDED BETTER PAIN RELIEF THAN THE IOP. NINE PTS (82%) CLAIMED THAT DUAL-MODALITY TREATMENT IMPROVED THEIR ACTIVITIES OF DAILY LIVING. NINE PTS (82%) REPORTED THAT THE COMBINATION OF IOP AND SCS TREATMENT HAD ALLOWED THEM TO SIGNIFICANTLY DECREASE THEIR ORAL PAIN MEDICATION REQUIREMENTS. REPORTABLE EVENT: ONE (B)(6) FEMALE PT EXPERIENCED POOR STIMULATION COVERAGE REQUIRING SURGERY 24 MONTHS POST SCS PLACEMENT. THE PT REPORTED TO BE VERY SATISFIED OVERALL WITH THEIR PAIN MANAGEMENT WITH BOTH THE IOP AND SCS. SEE LITERATURE ARTICLE WITH MFR REPORT# 3007566237-2011-00596.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNKNOWN SPINAL CORD STIMULATOR LGW MEDTRONIC NEUROMODULATION IPGNEURO NA

Patients

Seq Age Sex Outcome Treatment
1 38 YR Required Intervention EXPLANTED:| IMPLANTED:| EXPLANTED:| EXPLANTED:| IMPLANTABLE PULSE GENERATOR: MODEL IPGNEURO,| IMPLANTED:| IMPLANTED:| LOT# UNK| CATHETER: MODEL CATHETER, LOT# UNK| LEAD TYPE: MODEL LEADN, LOT# UNK