FDA Adverse Event Malfunction Summary report: N

SUBDURAL ELECTRODE

MDR report key: 22827064 · Received August 18, 2025

Report

Report Number
2183456-2025-00007
Event Type
Malfunction
Date Received
August 18, 2025
Report Date
September 25, 2025
Manufacturer
AD-TECH MEDICAL INSTRUMENT CORP.
Product Code
GYC
PMA / PMN Number
K970587
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS MDR IS BEING FILED WITHIN 30 DAYS OF BECOMING AWARE OF THE RETAINED SUBDURAL ELECTRODE WHICH OCCURRED 20 YEARS AGO. THERE WAS NO CATALOG OR LOT INFORMATION PROVIDED FOR THIS EVENT. THERE HAS BEEN NO PATIENT HARM REPORTED WITH THE RETAINED ELECTRODE. THE 510(K) NUMBER REFERENCED IN THIS REPORT IS THAT WHICH AD-TECH SUBDURAL ELECTRODES WERE MARKETED UNDER IN 2005. THE CURRENT 510(K) NUMBER FOR AD-TECH SUBDURAL ELECTRODES IS K191186. THE CUSTOMER WAS EMAILED THE FOLLOWING RESPONSE: TO DATE, AD-TECH ONLY HAS FDA CLEARANCE FOR MRI USE OF DEPTH ELECTRODES (SPECIFICALLY SD AND RD S-STYLE ELECTRODES) AND ANCHOR BOLTS. AS STATED IN OUR INSTRUCTIONS FOR USE (IFU) FOR SUBDURALS, "THE SUBDURAL ELECTRODE HAS NOT BEEN EVALUATED FOR SAFETY AND COMPATIBILITY IN THE MR ENVIRONMENT. IT HAS NOT BEEN TESTED FOR HEATING, MIGRATION, OR IMAGE ARTIFACT IN THE MR ENVIRONMENT. THE SAFETY OF THE SUBDURAL ELECTRODE IN THE MR ENVIRONMENT IS UNKNOWN. SCANNING A PATIENT WHO HAS THIS DEVICE MAY RESULT IN PATIENT INJURY." ----REPORT FOLLOW-UP #01------ UPDATED 8/19/25. THE FAILURE TO EXPLANT THE ELECTRODE IS THE SOLE REASON FOR THIS REPORT. NO ADDITIONAL DEVICE MALFUNCTION OR PATIENT INJURY HAS BEEN REPORTED AT THIS TIME. THIS INCIDENT IS NOT RELATED TO MRI USE. NO MRI PROCEDURE WAS PERFORMED IN CONNECTION WITH THE RETAINED ELECTRODE, AND NO ADVERSE EVENT INVOLVING MRI HAS OCCURRED. THE REPORT IS FILED SOLELY TO DOCUMENT THE RETENTION OF THE ELECTRODE.

Additional Manufacturer Narrative · 0

THIS MDR IS BEING FILED WITHIN 30 DAYS OF BECOMING AWARE OF THE RETAINED SUBDURAL ELETRODE WHICH OCCURRED 20 YEARS AGO. THERE WAS NO CATALOG OR LOT INFORMATION PROVIDED FOR THIS EVENT. THERE HAS BEEN NO PATIENT HARM REPORTED WITH THE RETAINED ELECTRODE. THE 510(K) NUMBER REFERENCED IN THIS REPORT IS THAT WHICH AD-TECH SUBDURAL ELECTRODES WERE MARKETED UNDER IN 2005. THE CURRENT 510(K) NUMDER FOR AD-TECH SUBDURAL ELECTRODES IS K191186. THE CUSTOMER WAS EMAILED THE FOLLOWING RESPONSE: TO DATE, AD-TECH ONLY HAS FDA CLEARANCE FOR MRI USE OF DEPTH ELECTRODES (SPECIFICALLY SD AND RD S-STYLE ELECTRODES) AND ANCHOR BOLTS. AS STATED IN OUR INSTRUCTIONS FOR USE (IFU) FOR SUBDURALS, "THE SUBDURAL ELECTRODE HAS NOT BEEN EVALUATED FOR SAFETY AND COMPATIBILITY IN THE MR ENVIRONMENT. IT HAS NOT BEEN TESTED FOR HEATING, MIGRATION, OR IMAGE ARTIFACT IN THE MR ENVIRONMENT. THE SAFETY OF THE SUBDURAL ELECTRODE IN THE MR ENVIRONMENT IS UNKNOWN. SCANNING A PATIENT WHO HAS THIS DEVICE MAY RESULT IN PATIENT INJURY."

Additional Manufacturer Narrative · 0

THIS MDR IS BEING FILED WITHIN 30 DAYS OF BECOMING AWARE OF THE RETAINED SUBDURAL ELETRODE WHICH OCCURRED 20 YEARS AGO. THERE WAS NO CATALOG OR LOT INFORMATION PROVIDED FOR THIS EVENT. THERE HAS BEEN NO PATIENT HARM REPORTED WITH THE RETAINED ELECTRODE. THE 510(K) NUMBER REFERENCED IN THIS REPORT IS THAT WHICH AD-TECH SUBDURAL ELECTRODES WERE MARKETED UNDER IN 2005. THE CURRENT 510(K) NUMDER FOR AD-TECH SUBDURAL ELECTRODES IS K191186. THE CUSTOMER WAS EMAILED THE FOLLOWING RESPONSE: TO DATE, AD-TECH ONLY HAS FDA CLEARANCE FOR MRI USE OF DEPTH ELECTRODES (SPECIFICALLY SD AND RD S-STYLE ELECTRODES) AND ANCHOR BOLTS. AS STATED IN OUR INSTRUCTIONS FOR USE (IFU) FOR SUBDURALS, "THE SUBDURAL ELECTRODE HAS NOT BEEN EVALUATED FOR SAFETY AND COMPATIBILITY IN THE MR ENVIRONMENT. IT HAS NOT BEEN TESTED FOR HEATING, MIGRATION, OR IMAGE ARTIFACT IN THE MR ENVIRONMENT. THE SAFETY OF THE SUBDURAL ELECTRODE IN THE MR ENVIRONMENT IS UNKNOWN. SCANNING A PATIENT WHO HAS THIS DEVICE MAY RESULT IN PATIENT INJURY." REPORT FOLLOW-UP #01 UPDATED 8/19/25. THE FAILURE TO EXPLANT THE ELECTRODE IS THE SOLE REASON FOR THIS REPORT. NO ADDITIONAL DEVICE MALFUNCTION OR PATIENT INJURY HAS BEEN REPORTED AT THIS TIME. THIS INCIDENT IS NOT RELATED TO MRI USE. NO MRI PROCEDURE WAS PERFORMED IN CONNECTION WITH THE RETAINED ELECTRODE, AND NO ADVERSE EVENT INVOLVING MRI HAS OCCURRED. THE REPORT IS FILED SOLELY TO DOCUMENT THE RETENTION OF THE ELECTRODE. REPORT FOLLOW-UP #02 UPDATED 9/25/25. SEVERAL ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL INFORMATION REGARDING THE REPORTED RETAINED ELECTRODE. UNFORTUNATELY, NO LOT NUMBER, BATCH NUMBER, OR CATALOG NUMBER WAS PROVIDED BY THE COMPLAINANT, WHICH HAS PREVENTED FURTHER INVESTIGATION INTO THE SPECIFIC PRODUCT INVOLVED. DUE TO THE LACK OF TRACEABLE PRODUCT INFORMATION, WE ARE UNABLE TO PROCEED WITH A ROOT CAUSE ANALYSIS OR DETERMINE ANY POTENTIAL CORRECTIVE ACTIONS. AS A RESULT, THIS COMPLAINT WILL BE FORMALLY CLOSED. SHOULD ANY NEW OR IDENTIFYING INFORMATION BECOME AVAILABLE, WE WILL REOPEN THE INVESTIGATION ACCORDINGLY.

Description of Event or Problem · 0

ON AUGUST 6TH, 2025 A NEUROLOGIST EMAILED SEEKING GUIDANCE REGARDING A PATIENT WHO HAD A SUBDURAL ELECTRODE IMPLANTED APPROXIMATELY 20 YEARS AGO, WHICH, FOR UNKNOWN REASONS, WAS NOT EXPLANTED FOLLOWING THE PROCEDURE. THE CURRENT CLINICAL TEAM IS EVALUATING THE SAFETY OF PERFORMING AN MRI SCAN ON THIS PATIENT. ---REPORT FOLLOW-UP #01------ UPDATED 08/19/25. THE FAILURE TO EXPLANT THE ELECTRODE IS THE SOLE REASON FOR THIS REPORT. NO ADDITIONAL DEVICE MALFUNCTION OR PATIENT INJURY HAS BEEN REPORTED AT THIS TIME. THIS INCIDENT IS NOT RELATED TO MRI USE. NO MRI PROCEDURE WAS PERFORMED IN CONNECTION WITH THE RETAINED ELECTRODE, AND NO ADVERSE EVENT INVOLVING MRI HAS OCCURRED. THE REPORT IS FILED SOLELY TO DOCUMENT THE RETENTION OF THE ELECTRODE.

Description of Event or Problem · 0

ON AUGUST 6TH, 2025 A NEUROLOGIST EMAILED SEEKING GUIDANCE REGARDING A PATIENT WHO HAD A SUBDURAL ELECTRODE IMPLANTED APPROXIMATELY 20 YEARS AGO, WHICH, FOR UNKNOWN REASONS, WAS NOT EXPLANTED FOLLOWING THE PROCEDURE. THE CURRENT CLINICAL TEAM IS EVALUATING THE SAFETY OF PERFORMING AN MRI SCAN ON THIS PATIENT.

Description of Event or Problem · 0

ON AUGUST 6TH, 2025 A NEUROLOGIST EMAILED SEEKING GUIDANCE REGARDING A PATIENT WHO HAD A SUBDURAL ELECTRODE IMPLANTED APPROXIMATELY 20 YEARS AGO, WHICH, FOR UNKNOWN REASONS, WAS NOT EXPLANTED FOLLOWING THE PROCEDURE. THE CURRENT CLINICAL TEAM IS EVALUATING THE SAFETY OF PERFORMING AN MRI SCAN ON THIS PATIENT. REPORT FOLLOW-UP #01 UPDATED 08/19/25. THE FAILURE TO EXPLANT THE ELECTRODE IS THE SOLE REASON FOR THIS REPORT. NO ADDITIONAL DEVICE MALFUNCTION OR PATIENT INJURY HAS BEEN REPORTED AT THIS TIME. THIS INCIDENT IS NOT RELATED TO MRI USE. NO MRI PROCEDURE WAS PERFORMED IN CONNECTION WITH THE RETAINED ELECTRODE, AND NO ADVERSE EVENT INVOLVING MRI HAS OCCURRED. THE REPORT IS FILED SOLELY TO DOCUMENT THE RETENTION OF THE ELECTRODE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1761874 SUBDURAL ELECTRODE SUBDURAL ELECTRODE GYC AD-TECH MEDICAL INSTRUMENT CORP. UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown