FDA Adverse Event Injury Summary report: N

VERCISE? CARTESIA?

MDR report key: 22031322 · Received May 15, 2025

Report

Report Number
3006630150-2025-03396
Event Type
Injury
Date Received
May 15, 2025
Date of Event
April 30, 2025
Report Date
July 3, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
NHL
UDI-DI
08714729905271
PMA / PMN Number
P150031
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: DBS-LINEAR LEADS UPN: M365DB2202300, MODEL: DB-2202-30, SERIAL: (B)(6), BATCH: 7078432. GOOD FAITH EFFORT ATTEMPTS WERE MADE TO TRY AND RETRIEVE ADDITIONAL DETAILS REGARDING THE REPORTED EVENT, BUT FURTHER INFORMATION WAS UNABLE TO BE OBTAINED.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: DBS-LINEAR LEADS. UPN: M365DB2202300. MODEL: DB-2202-30. SERIAL: (B)(6). BATCH: 7078432. GOOD FAITH EFFORT ATTEMPTS WERE MADE TO TRY AND RETRIEVE ADDITIONAL DETAILS REGARDING THE REPORTED EVENT, BUT FURTHER INFORMATION WAS UNABLE TO BE OBTAINED.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: DBS-LINEAR LEADS, UPN: M365DB2202300, MODEL: DB-2202-30, SERIAL: (B)(6), BATCH: 7078432.

Description of Event or Problem · 0

IT WAS REPORTED THAT FOLLOWING THE DEEP BRAIN STIMULATION (DBS) IMPLANT PROCEDURE, THE PATIENT DEVELOPED DELIRIUM. THE PHYSICIAN ATTRIBUTED THIS EVENT TO A MICRO-DESTRUCTIVE EFFECT FOLLOWING LEAD PLACEMENT. AS THE PATIENT WAS ALREADY HOSPITALIZED POST-IMPLANT, HE REMAINED UNDER MEDICAL CARE. THE DELIRIUM HAS SINCE SUBSIDED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT HAS NOT BEEN DISCHARGED FROM THE HOSPITAL.

Description of Event or Problem · 0

IT WAS REPORTED THAT FOLLOWING THE DEEP BRAIN STIMULATION (DBS) IMPLANT PROCEDURE, THE PATIENT DEVELOPED DELIRIUM. THE PHYSICIAN ATTRIBUTED THIS EVENT TO A MICRO-DESTRUCTIVE EFFECT FOLLOWING LEAD PLACEMENT. AS THE PATIENT WAS ALREADY HOSPITALIZED POST-IMPLANT, HE REMAINED UNDER MEDICAL CARE. THE DELIRIUM HAS SINCE SUBSIDED.

Description of Event or Problem · 0

IT WAS REPORTED THAT FOLLOWING THE DEEP BRAIN STIMULATION (DBS) IMPLANT PROCEDURE, THE PATIENT DEVELOPED DELIRIUM. THE PHYSICIAN ATTRIBUTED THIS EVENT TO A MICRO-DESTRUCTIVE EFFECT FOLLOWING LEAD PLACEMENT. AS THE PATIENT WAS ALREADY HOSPITALIZED POST-IMPLANT, HE REMAINED UNDER MEDICAL CARE. THE DELIRIUM HAS SINCE SUBSIDED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT HAS NOT BEEN DISCHARGED FROM THE HOSPITAL. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT WAS DISCHARGED FROM THE HOSPITAL. PSYCHIATRIC SYMPTOMS REMAIN UNDER ONGOING OBSERVATION AND CLINICAL MONITORING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1896078 VERCISE? CARTESIA? STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN SYMPTOMS NHL BOSTON SCIENTIFIC NEUROMODULATION CORPORATION DB-2202-30 7078432 08714729905271

Patients

Seq Age Sex Outcome Treatment
1 59 YR Male Hospitalization| R