FDA Adverse Event Injury Summary report: N

VERCISE CARTESIA

MDR report key: 20588996 · Received November 1, 2024

Report

Report Number
3006630150-2024-07478
Event Type
Injury
Date Received
November 1, 2024
Date of Event
October 16, 2024
Report Date
January 28, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
MHY
UDI-DI
08714729905271
PMA / PMN Number
P150031
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL PRO CODE SELECTION THAT APPLIES TO THE INDICATION OF THIS DEVICE - NHL.

Additional Manufacturer Narrative · 0

ADDITIONAL PRO CODE SELECTION THAT APPLIES TO THE INDICATION OF THIS DEVICE - NHL.

Additional Manufacturer Narrative · 0

ADDITIONAL PRO CODE SELECTION THAT APPLIES TO THE INDICATION OF THIS DEVICE - NHL.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT ENROLLED IN CLINICAL STUDY (B)(6) DEVELOPED BILATERAL DEHISCENCE WOUNDS AT THE SITE OF THE IMPLANTABLE PULSE GENERATOR (IPG). THE WOUNDS WERE CLEANED, AND MEDICATION WAS ADMINISTERED. THE EVENT WAS RESOLVING. THIS NON SERIOUS ADVERSE EVENT WAS REPORTED AS RELATED TO THE PROCEDURE AND NOT RELATED TO THE HARDWARE OR STIMULATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT ENROLLED IN CLINICAL STUDY A4010 DEVELOPED BILATERAL DEHISCENCE WOUNDS AT THE SITE OF THE IMPLANTABLE PULSE GENERATOR (IPG). THE WOUNDS WERE CLEANED, AND MEDICATION WAS ADMINISTERED. THE EVENT WAS RESOLVING. THIS NON SERIOUS ADVERSE EVENT WAS REPORTED AS RELATED TO THE PROCEDURE AND NOT RELATED TO THE HARDWARE OR STIMULATION. ADDITIONAL INFORMATION WAS RECEIVED INDICATING THE WOUND DEHISCENCE WAS LOCATED AT THE SITE OF THE LEAD NOT THE IPG. ADDITIONAL INFORMATION WAS RECEIVED PROVIDING THE MODEL AND SERIAL NUMBER OF THE LEAD.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT ENROLLED IN CLINICAL STUDY A4010 DEVELOPED BILATERAL DEHISCENCE WOUNDS AT THE SITE OF THE IMPLANTABLE PULSE GENERATOR (IPG). THE WOUNDS WERE CLEANED, AND MEDICATION WAS ADMINISTERED. THE EVENT WAS RESOLVING. THIS NON SERIOUS ADVERSE EVENT WAS REPORTED AS RELATED TO THE PROCEDURE AND NOT RELATED TO THE HARDWARE OR STIMULATION. ADDITIONAL INFORMATION WAS RECEIVED INDICATING THE WOUND DEHISCENCE WAS LOCATED AT THE SITE OF THE LEAD NOT THE IPG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2188497 VERCISE CARTESIA STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY BOSTON SCIENTIFIC NEUROMODULATION CORPORATION DB-2202-30 7085558 08714729905271

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention