FDA Adverse Event Death Summary report: N

UNKNOWN DEEP BRAIN STIMULATOR

MDR report key: 2162129 · Received July 8, 2011

Report

Report Number
3007566237-2011-05262
Event Type
Death
Date Received
July 8, 2011
Date of Event
March 1, 2011
Report Date
June 7, 2011
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P860009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE INFO FROM THE ARTICLE OR TO MATCH THE EVENTS REPORTED WITH PREVIOUSLY REPORTED EVENTS. AT THIS TIME NO ADD'L INFO WAS AVAILABLE, ADD'L INFO REGARDING THE PT, EVENT, INTERVENTIONS AND OUTCOME HAS BEEN....

Description of Event or Problem · 1

LITERATURE: SOULAS T, SULTAN S, GURRUCHAGA JM, PALFI S, FENELON G. DEPRESSION AND COPING AS PREDICTORS OF CHANGE AFTER DEEP BRAIN STIMULATION IN PARKINSON'S DISEASE. WORLD NEUROSURG. MAR-APR 2011;75(3-4):525-532. DOI: 10.1016/J.WNEU.2010.06.015. SUMMARY: THE AIM OF THE PRESENT STUDY WAS TO EVALUATE THE POSITIVE IMPACT OF SUBTHALAMIC NUCLEUS DEEP BRAIN STIMULATION (STN-DBS) ON MOTOR SYMPTOMS AND TO QUANTIFY THE CHANGES IN QOL, ANXIETY, AND DEPRESSION AFTER SURGERY. THE STUDY WAS CONDUCTED FROM (B)(6) 2004 THROUGH (B)(6) 2007. A TOTAL OF 41 CONSECUTIVE PATIENTS PARTICIPATED IN THIS STUDY. REPORTABLE EVENT: DURING THE FIRST 6 MONTHS AFTER THE OPERATION, TWO PATIENTS HAD THEIR STIMULATION ELECTRODES REMOVED DUE TO AN INFECTION AND ONE PT COMMITTED SUICIDE.

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 Death| R EXPLANTED:| EXPLANTED:| IMPLANTED:| IMPLANTED:| LOT# UNK| UNK CONVERSION TYPE: MODEL LEADN, LOT# UNK| IMPLANTED:| IMPLANTABLE PULSE GENERATOR: MODEL IPGNEURO,| EXPLANTED:| UNK CONVERSION TYPE: MODEL LEADN, LOT# UNK