FDA Adverse Event Injury Summary report: N

SYNCHROMED

MDR report key: 2052536 · Received April 11, 2011

Report

Report Number
3007566237-2011-02719
Event Type
Injury
Date Received
April 11, 2011
Report Date
July 29, 2025
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

ON (B)(6) 2011, THE PT WAS ADMITTED TO THE HOSPITAL FOR AN ELECTIVE CATHETER MYELOGRAM IN ORDER TO ENSURE PATENCY AND CONTINUITY OF CATHETER. THE RESULTS OF THE PROCEDURE WERE INCONCLUSIVE; HOWEVER, X-RAYS AT THE TIME SHOWED A POTENTIAL DISCONNECT BETWEEN THE PUMP AND THE CATHETER OVER THE JUNCTION SITE. THE CONSULTANT ARRANGED FOR FURTHER X-RAYS WHICH WERE TAKEN ON (B)(6) 2011. THESE IMAGES SHOWED A CLEAR DISCONNECTION BETWEEN THE PUMP AND CATHETER. ARRANGEMENTS WERE UNDER WAY TO ADMIT THE PT FOR CATHETER REVISION AND RECONNECTION AS SOON AS POSSIBLE. THE SEVERITY OF THE EVENT WAS NOTED TO BE "SEVERE". IT WAS NOTED THAT IT WAS UNK WHEN THE DISCONNECTION OCCURRED; IT WAS THOUGHT THAT THE PT HAD NOT BEEN RECEIVING ANY INTRATHECAL ANALGESIA FOR A WHILE. THE PT HAD HAD NEW PAINS, A PROBLEM WITH MEMORY, AND REDUCED ABILITY TO CONCENTRATE SINCE (B)(6) 2009 AND INSOMNIA SINCE (B)(6) 2010; ALL WERE NOTED TO BE "NOT RESOLVED". THE DEVICE SYSTEM WAS USED TO DELIVER CLONIDINE, MORPHINE, AND PRIALT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED LKK MEDTRONIC NEUROMODULATION PUMP NA

Patients

Seq Age Sex Outcome Treatment
1 NA Male Hospitalization CATHETER MODEL 8731SC| CATHETER: MODEL CATHETER, LOT # UNKNOWN| EXPLANTED:| IMPLANTED:| IMPLANTED:| CATHETER: MODEL CATHETER, LOT # UNKNOWN| EXPLANTED: