FDA Adverse Event Injury Summary report: N

VERCISE GENUS

MDR report key: 20467365 · Received October 16, 2024

Report

Report Number
3006630150-2024-07025
Event Type
Injury
Date Received
October 16, 2024
Date of Event
September 17, 2024
Report Date
December 6, 2024
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
NHL
UDI-DI
08714729985044
PMA / PMN Number
P150031
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PRO CODE SELECTIONS THAT APPLY TO THE INDICATION OF THIS DEVICE - MHY, PJS.

Additional Manufacturer Narrative · 0

ADDITIONAL PRO CODE SELECTIONS THAT APPLY TO THE INDICATION OF THIS DEVICE - MHY, PJS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING THE REVISION PROCEDURE TO REPLACE THE DEEP BRAIN STIMULATION (DBS) LEAD EXTENSION DUE TO UNKNOWN REASON THE PHYSICIAN EXPERIENCED DIFFICULTY DISCONNECTING THE LEAD EXTENSION FROM THE DIRECTIONAL LEAD BUT WAS ABLE TO SUCCESSFULLY REPLACE THE LEAD EXTENSION. FOLLOWING THE PROCEDURE BOTH THE CLINICIAN PROGRAMMER (CP) AND THE PATIENT REMOTE CONTROL WERE UNABLE TO ESTABLISH A CONNECTION TO THE IMPLANTABLE PULSE GENERATOR (IPG). A PLASMA BLADE WAS USED TO PERFORM THE LEAD EXTENSION REPLACEMENT AND POSSIBLY COMPROMISED THE IPG. THE PATIENT UNDERWENT A REVISION PROCEDURE WHERE THE IPG WAS REPLACED. ADDITIONAL INFORMATION WAS RECEIVED PROVIDING THE MODEL, SERIAL NUMBER, AND EXPLANT DATE OF THE IPG.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING THE REVISION PROCEDURE TO REPLACE THE DEEP BRAIN STIMULATION (DBS) LEAD EXTENSION DUE TO UNKNOWN REASON THE PHYSICIAN EXPERIENCED DIFFICULTY DISCONNECTING THE LEAD EXTENSION FROM THE DIRECTIONAL LEAD BUT WAS ABLE TO SUCCESSFULLY REPLACE THE LEAD EXTENSION. FOLLOWING THE PROCEDURE BOTH THE CLINICIAN PROGRAMMER (CP) AND THE PATIENT REMOTE CONTROL WERE UNABLE TO ESTABLISH A CONNECTION TO THE IMPLANTABLE PULSE GENERATOR (IPG). A PLASMA BLADE WAS USED TO PERFORM THE LEAD EXTENSION REPLACEMENT AND POSSIBLY COMPROMISED THE IPG. THE PATIENT UNDERWENT A REVISION PROCEDURE WHERE THE IPG WAS REPLACED. ADDITIONAL INFORMATION WAS RECEIVED PROVIDING THE MODEL, SERIAL NUMBER, AND EXPLANT DATE OF THE IPG. THE EXPLANTED IPG WAS DISCARDED BY THE MEDICAL FACILITY AND WAS NOT RETURNED TO BSC. THE PATIENT WAS DOING WELL POST-OPERATIVELY.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING THE REVISION PROCEDURE TO REPLACE THE DEEP BRAIN STIMULATION (DBS) LEAD EXTENSION DUE TO UNKNOWN REASON THE PHYSICIAN EXPERIENCED DIFFICULTY DISCONNECTING THE LEAD EXTENSION FROM THE DIRECTIONAL LEAD BUT WAS ABLE TO SUCCESSFULLY REPLACE THE LEAD EXTENSION. FOLLOWING THE PROCEDURE BOTH THE CLINICIAN PROGRAMMER (CP) AND THE PATIENT REMOTE CONTROL WERE UNABLE TO ESTABLISH A CONNECTION TO THE IMPLANTABLE PULSE GENERATOR (IPG). A PLASMA BLADE WAS USED TO PERFORM THE LEAD EXTENSION REPLACEMENT AND POSSIBLY COMPROMISED THE IPG. THE PATIENT UNDERWENT A REVISION PROCEDURE WHERE THE IPG WAS REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1034670 VERCISE GENUS STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR NHL BOSTON SCIENTIFIC NEUROMODULATION CORPORATION DB-1216 593180 08714729985044

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention