UNKNOWN SPINAL CORD STIMULATOR
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
(B)(4). AT THIS TIME NO ADDITIONAL INFO WAS AVAILABLE. ADDITIONAL INFO HAS BEEN REQUESTED.
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 |