FDA Adverse Event Injury Summary report: N

UNKNOWN DEEP BRAIN STIMULATOR

MDR report key: 2032517 · Received March 24, 2011

Report

Report Number
3007566237-2011-02266
Event Type
Injury
Date Received
March 24, 2011
Date of Event
December 16, 2009
Report Date
February 28, 2011
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

LITERATURE: PARK YS, KIM HY, CHANG WS, LEE PH, SOHN YH, CHANG JW. A COMPARISON OF LEDD AND MOTOR SCORES FOLLOWING STN-DBS TREATMENT IN PATIENT WITH YOUNG ONSET VS LATE ONSET PARKINSON'S DISEASE. NEUROMODULATION: TECHNOLOGY AT THE NEURAL INTERFACE. 2010;13(4):255-260. SUMMARY: THE AUTHORS COMPARED THE ROLE OF SUBTHALAMIC NUCLEUS DEEP BRAIN STIMULATION (STN-DBS) IN THE MANAGEMENT OF MEDICALLY REFRACTORY IDIOPATHIC PARKINSON'S DISEASE IN PATIENTS WITH RELATIVELY YOUNG ONSET (B)(6) PARKINSON'S DISEASE (YOPD) AND PATIENTS WITH RELATIVELY LATE ONSET PARKINSON'S DISEASE ((B)(6), RLOPD). BETWEEN (B)(6) 2000 AND (B)(6) 2008, THE AUTHORS TREATED 132 PATIENTS, OF THESE PATIENTS, 33 (25%) MET DISEASE ONSET CRITERIA, AND WERE INCLUDED IN THE STUDY SAMPLE: 18 (10 MEN, EIGHT WOMEN) YOPD PATIENTS, AND 15 (SIX MEN, NINE WOMEN) RLOPD. PEROPERATIVE DYSKINESIA WAS MORE COMMON IN YOPD PATIENTS AND, PSYCHOTIC PROBLEMS WERE MORE COMMON IN RLOPD PATIENTS. OUR RESULTS SUGGEST THE AGE OF ONSET DOES NOT INFLUENCE RESPONSE TO STN-DBS PARKINSON'S DISEASE PATIENTS. THERE WERE NO DIFFERENCES IN POSTOPERATIVE WEIGHT GAIN BETWEEN THE TWO GROUPS. THERE WAS NO MORTALITY RELATED TO STN-DBS IN OUR STUDY. NO PATIENT REQUIRED IMMEDIATE STIMULATOR REPOSITIONING IMMEDIATELY FOLLOWING STN-DBS. REPORTABLE EVENT: IT WAS REPORTED THAT ONE RLOPD PATIENT HAD AN EPIDURAL HEMATOMA AND CRANIOTOMY DUE TO A MOTOR VEHICLE INJURY THREE YEARS FOLLOWING THE PROCEDURE. THE AUTHORS DID NOT REMOVE THE RIGHT PROXIMAL ELECTRODE, BUT THE STIMULATION WAS TURNED OFF AS THE ELECTRODE HAD MIGRATED. SEE LITERATURE ARTICLE WITH MFR REPORT# 3007566237-2011-02256. IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE INFORMATION FROM THE ARTICLE OR TO MATCH THE EVENTS REPORTED WITH PREVIOUSLY REPORTED EVENTS. THE PATIENT INFORMATION PROVIDED IN SECTION A IS THE AVERAGE FOR ALL THE PATIENTS WITHIN THE RLOPD GROUP. AT THIS TIME, NO ADDITIONAL INFORMATION WAS AVAILABLE, ADDITIONAL INFORMATION REGARDING THE PATIENT, EVENT AND OUTCOME HAS BEEN REQUESTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 58 YR Required Intervention EXPLANTED:| IMPLANTED:| LEAD: MODEL 3387, LOT# UNKNOWN| EXTENSION: MODEL EXTENSION MVD, LOT# UNKNOWN| EXPLANTED:| IMPLANTED: