FDA Adverse Event Injury Summary report: N

REACTIV8

MDR report key: 21074993 · Received January 4, 2025

Report

Report Number
3021520203-2024-00028
Event Type
Injury
Date Received
January 4, 2025
Date of Event
December 5, 2024
Report Date
March 17, 2025
Manufacturer
MAINSTAY MEDICAL LIMITED
Product Code
QLK
UDI-DI
05391527770015
PMA / PMN Number
P190021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MML # (B)(4). OTHER DEVICE EXPLANTED. MODEL: 8145 DESCRIPTION: IMPLANTABLE STIMULATION LEADS SERIAL NUMBERS: (B)(6). UDIS: (B)(4).

Additional Manufacturer Narrative · 0

MML # (B)(4). OTHER DEVICE EXPLANTED. MODEL: 8145. DESCRIPTION: IMPLANTABLE STIMULATION LEADS. SERIAL NUMBERS: (B)(6). UDIS: (B)(4). THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD ASSEMBLIES WERE RETURNED FOR ANALYSIS. THE IPG PASSED THE FUNCTIONAL TESTING AND OPERATED WITHIN THE MANUFACTURING SPECIFICATIONS. BOTH LEADS WERE RECEIVED IN TWO SEGMENTS. THEREFORE, NO FUNCTIONAL TESTING OF THE DEVICE CAN BE CARRIED OUT. VISUAL INSPECTION OF THE IPG AND LEADS FOUND NO ANOMALIES RELEVANT TO THE SUSPECTED INFECTION. THE DEVICE MANUFACTURING AND STERILIZATION RECORDS WERE REVIEWED. ALL PASSED THE STERILIZATION PROCESS, AND NO OBSERVATION WOULD HAVE CONTRIBUTED TO THE ALLEGED INFECTION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT COMPLAINED OF WARMTH TO THE BATTERY SITE AND DRAINAGE FROM THE CAUDAL EDGE OF THE MIDLINE INCISION. THE PATIENT REPORTED THAT THE EVENT HAD HAPPENED ON THREE DIFFERENT OCCASIONS: AT FOUR WEEKS POST-OP AND WAS TREATED WITH ANTIBIOTICS, THEN AT 5-6 MONTHS AND 10 MONTHS. THUS FAR, INCREMENTAL VISITS WITH THE MAINSTAY MEDICAL LIMITED (MML) REPRESENTATIVE AND PATIENT THERAPY HAVE BEEN WITHIN NORMAL LIMITS, AND THE PATIENT REPORTED SEEING MODERATE FUNCTIONAL IMPROVEMENT. IN THE THIRD INSTANCE OF DRAINAGE TO INCISION COMPLAINTS, THE MEDICAL DOCTOR ASKED THE MML REPRESENTATIVE TO ASSESS THE PATIENT'S THERAPY SETTINGS. THE MML REPRESENTATIVE ASSESSES THE REACTIV8 BY PERFORMING INTERROGATION, IMPEDANCE MATRIX, DATA GRAPH, AND IPG. ALL ARE WITHIN NORMAL LIMITS DURING THE VISIT. THE IPG WAS TURNED OFF FOR 10 MINUTES, AND THE PATIENT REPORTED NO DIFFERENCE IN THE WARMTH TO THE BATTERY SITE. SKIN TO TOUCH AT THE LEFT FLANK BATTERY SITE WAS WARMER THAN THE SKIN ON THE RIGHT FLANK OF THE PATIENT, WHICH REMAINED THE SAME THROUGHOUT THE VISIT WITH AND WITHOUT A SESSION RUNNING. THERE WAS NO VISIBLE DRAINAGE DURING THE MML VISIT. A CULTURE WAS TAKEN DURING THE FOLLOW-UP VISIT WITH THE MEDICAL DOCTOR. THE CULTURE RESULT RETURNED NEGATIVE FOR INFECTION, AND THE PATIENT WAS CLEARED TO START DOING TWO THERAPY SESSIONS AGAIN DAILY. IT WAS REPORTED THAT THE DEVICE WAS EXPLANTED. WHILE THE MEDICAL DOCTOR WAS MAKING THE INCISION, THE DOCTOR CONFIRMED AN INFECTION BECAUSE OF THE ABSCESS IN THE BATTERY SITE. THE DEVICE WAS EXPLANTED ENTIRELY WITHOUT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT COMPLAINED OF WARMTH TO THE BATTERY SITE AND DRAINAGE FROM THE CAUDAL EDGE OF THE MIDLINE INCISION. THE PATIENT REPORTED THAT THE EVENT HAD HAPPENED ON THREE DIFFERENT OCCASIONS: AT FOUR WEEKS POST-OP AND WAS TREATED WITH ANTIBIOTICS, THEN AT 5-6 MONTHS AND 10 MONTHS. THUS FAR, INCREMENTAL VISITS WITH THE MAINSTAY MEDICAL LIMITED (MML) REPRESENTATIVE AND PATIENT THERAPY HAVE BEEN WITHIN NORMAL LIMITS, AND THE PATIENT REPORTED SEEING MODERATE FUNCTIONAL IMPROVEMENT. IN THE THIRD INSTANCE OF DRAINAGE TO INCISION COMPLAINTS, THE MEDICAL DOCTOR ASKED THE MML REPRESENTATIVE TO ASSESS THE PATIENT'S THERAPY SETTINGS. THE MML REPRESENTATIVE ASSESSES THE REACTIV8 BY PERFORMING INTERROGATION, IMPEDANCE MATRIX, DATA GRAPH, AND IPG. ALL ARE WITHIN NORMAL LIMITS DURING THE VISIT. THE IPG WAS TURNED OFF FOR 10 MINUTES, AND THE PATIENT REPORTED NO DIFFERENCE IN THE WARMTH TO THE BATTERY SITE. SKIN TO TOUCH AT THE LEFT FLANK BATTERY SITE WAS WARMER THAN THE SKIN ON THE RIGHT FLANK OF THE PATIENT, WHICH REMAINED THE SAME THROUGHOUT THE VISIT WITH AND WITHOUT A SESSION RUNNING. THERE WAS NO VISIBLE DRAINAGE DURING THE MML VISIT. A CULTURE WAS TAKEN DURING THE FOLLOW-UP VISIT WITH THE MEDICAL DOCTOR. THE CULTURE RESULT RETURNED NEGATIVE FOR INFECTION, AND THE PATIENT WAS CLEARED TO START DOING TWO THERAPY SESSIONS AGAIN DAILY. IT WAS REPORTED THAT THE DEVICE WAS EXPLANTED. WHILE THE MEDICAL DOCTOR WAS MAKING THE INCISION, THE DOCTOR CONFIRMED AN INFECTION BECAUSE OF THE ABSCESS IN THE BATTERY SITE. THE DEVICE WAS EXPLANTED ENTIRELY WITHOUT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1310801 REACTIV8 REACTIV8 IMPLANTABLE PULSE GENERATOR QLK MAINSTAY MEDICAL LIMITED 5100 05391527770015

Patients

Seq Age Sex Outcome Treatment
1 55 YR Female Other