VERCISE? CARTESIA?
Report
- Report Number
- 3006630150-2025-06050
- Event Type
- Injury
- Date Received
- August 1, 2025
- Date of Event
- November 1, 2024
- Report Date
- August 1, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- MHY
- UDI-DI
- 08714729905288
- PMA / PMN Number
- P150031
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
B3: APPROXIMATED BASED ON THE SALES REPRESENTATIVE RESPONSE. BLOCK D2B: ADDITIONAL APPLICABLE PRODUCT CODES: PJS, NHL. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: DBS-LINEAR LEADS, UPN: M365DB2202450, MODEL: DB-2202-45, SERIAL: (B)(6), BATCH: 7120703, UDI: (B)(4).
IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT UNDERWENT LEAD REPLACEMENT AFTER THE ORIGINAL LEADS WERE FOUND TO BE OFF TARGET, RESULTING IN MINIMAL THERAPEUTIC EFFECT. THE PATIENT'S CONDITION FOLLOWING THE PROCEDURE IS GOOD. WHILE RIGIDITY SYMPTOMS HAVE IMPROVED COMPARED TO BEFORE, DYSKINESIA HAS LIKELY EMERGED DUE TO THE IMPLANTED POSITION. THE PATIENT WILL CONTINUE TO BE MONITORED. THE EXPLANTED PRODUCTS WERE DISCARDED AT THE FACILITY AND WILL NOT BE RETURNED FOR ANALYSIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1049672 | VERCISE? CARTESIA? | STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR | MHY | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | DB-2202-45 | 7120772 | 08714729905288 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Female | Required Intervention |