FDA Adverse Event Injury Summary report: N

KINETRA

MDR report key: 2297782 · Received October 7, 2011

Report

Report Number
3007566237-2011-08530
Event Type
Injury
Date Received
October 7, 2011
Date of Event
May 6, 2008
Report Date
September 13, 2011
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

LITERATURE: NUNTA-AREE S, SITTHINAMSUWAN B, BOONYAPISIT K, PISAMPOMG A, SW2-YEAR OUTCOMES OF SUBTHALAMIC DEEP BRAIN STIMULATION FOR IDIOPATHIC PARKINSON'S DISEASE. J MED ASSOC THAI. MAY 2010;93(5):529-540. SUMMARY: THIS ARTICLE STUDIED (B)(4) CLINICAL OUTCOMES, CHANGES OF MEDICATION AND COMPLICATIONS FOLLOWING SUBTHALAMIC NUCLEUS DEEP BRAIN STIMULATION IN PTS WHO PRESENTED WITH ADVANCED PARKINSON'S DISEASE IN (B)(6) TO ONE CLINICAL GROUP SINCE 2004. TWENTY-SEVEN PTS WITH (B)(6) F/U AND COMPLETE DATA WERE ENROLLED FOR RETROSPECTIVE EVAL OF UNIFIED PARKINSON'S DISEASE RATING SCALE, AND 62 PTS WERE ENROLLED FOR STUDY OF SURGICAL COMPLICATIONS. EVENT: THE AUTHORS REPORTED THAT ONE LEAD WAS "MALPOSITIONED." ADDITIONAL INFO WAS RECEIVED THAT INDICATED A LEAD REVISION WAS PERFORMED AND NO COMPONENTS WERE EXPLANTED. FINAL PT OUTCOME INDICATED THAT THE PT WAS DOING FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KINETRA MHY MEDTRONIC NEUROMODULATION 7428 NA

Patients

Seq Age Sex Outcome Treatment
1 58 YR Required Intervention (B)(4)| LEAD: MODEL 3389-40 LED KIT, (B)(4)