UNKNOWN DEEP BRAIN STIMULATOR
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
(B)(4).
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: |