FDA Adverse Event Injury Summary report: N

VERCISE? CARTESIA?

MDR report key: 23397330 · Received October 27, 2025

Report

Report Number
3006630150-2025-09625
Event Type
Injury
Date Received
October 27, 2025
Date of Event
April 2, 2025
Report Date
October 27, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
NHL
UDI-DI
08714729905288
PMA / PMN Number
P150031
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: DBS-LINEAR LEADS, UPN: M365DB2202450, MODEL: DB-2202-45, SERIAL: (B)(6), BATCH: 7119476, UDI: (B)(4). PRODUCT FAMILY: DBS-EXTENSION, UPN: M365DB312855B0, MODEL: DB-3128-55B, SERIAL: (B)(6), BATCH: 5003012, UDI: (B)(4). PRODUCT FAMILY: DBS-IPG-R-MRI, UPN: M365DB12160, MODEL: DB-1216, SERIAL: (B)(6), BATCH: 757465, UDI: (B)(4). PRODUCT FAMILY: DBS-LEAD FIXATION, UPN: M365DB4600C0, MODEL: DB-4600-C, SERIAL: N/A, BATCH: 33612497, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT EXPERIENCED EXTRUSION WITH THE POTENTIAL RISK OF INFECTION AT THE LEAD AND LEAD EXTENSION IMPLANT SITE. THE PATIENT UNDERWENT A PROCEDURE WHEREIN THE DBS SYSTEM WAS EXPLANTED. THE PHYSICIAN ASSESSED THAT THE CAUSE FOR THE EXTRUSION COULD NOT BE DETERMINED. ANALYSIS OF THE DBS DEVICES WAS NOT PERFORMED AS THEY WERE RETAINED BY THE FACILITY. THE PATIENT WAS TREATED WITH ANTIBIOTICS AND HAS MADE A FULL RECOVERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2734397 VERCISE? CARTESIA? STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR NHL BOSTON SCIENTIFIC NEUROMODULATION CORPORATION DB-2202-45 7119468 08714729905288

Patients

Seq Age Sex Outcome Treatment
1 67 YR Female Required Intervention