FDA Adverse Event Death Summary report: N

VERCISE? CARTESIA?

MDR report key: 22835841 · Received August 18, 2025

Report

Report Number
3006630150-2025-06636
Event Type
Death
Date Received
August 18, 2025
Date of Event
July 24, 2025
Report Date
August 18, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
MHY
UDI-DI
08714729905271
PMA / PMN Number
P150031
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK D.2B; ADDITIONAL APPLICABLE PRODUCT CODES: NHL, PJS. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: DBS-LINEAR LEADS UPN: M365DB2202300 MODEL: DB-2202-30 SERIAL: (B)(6) BATCH: 7086026 UDI: (B)(4). PRODUCT FAMILY: DBS-LEAD FIXATION UPN: M365DB4600C0 MODEL: DB-4600-C BATCH: 36122989 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT UNDERWENT AN IMPLANT SURGERY. FOLLOWING THE PROCEDURE, THE PATIENT DEVELOPED A POST-OPERATIVE HEMORRHAGE. DUE TO AN ADVANCED DIRECTIVE IN PLACE, WHICH PROHIBITS LIFE-SAVING SURGICAL INTERVENTIONS, THE PATIENT UNFORTUNATELY PASSED AWAY. THE SURGEON HAS CLEARLY STATED THAT THE EVENT WAS NOT RELATED TO THE DEVICE, AND IT IS UNCERTAIN WHETHER IT WAS RELATED TO THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2204807 VERCISE? CARTESIA? STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY BOSTON SCIENTIFIC NEUROMODULATION CORPORATION DB-2202-30 7086286 08714729905271

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Death