FDA Adverse Event Injury Summary report: N

VERCISE? CARTESIA?

MDR report key: 22689041 · Received August 1, 2025

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

Additional Manufacturer Narrative · 0

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).

Description of Event or Problem · 0

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