FDA Adverse Event Injury Summary report: N

VERCISE? CARTESIA?

MDR report key: 23610791 · Received November 20, 2025

Report

Report Number
3006630150-2025-10617
Event Type
Injury
Date Received
November 20, 2025
Date of Event
October 31, 2025
Report Date
November 20, 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
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATION - BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK D2B: ADDITIONAL APPLICABLE PRODUCT CODE: 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: 7133157 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT UNDERWENT A REVISION PROCEDURE DUE TO INADEQUATE STIMULATION. THE ORIGINAL LEADS HAD BEEN PLACED BILATERALLY IN THE INTERNAL CAPSULE, WHICH LIMITED THE EFFECTIVENESS OF THE STIMULATION. THE PATIENT'S SYMPTOMS INCLUDED DISCOMFORT AND MUSCLE TIGHTNESS WHEN THE STIMULATION WAS ON. THE LEAD REPLACEMENT WAS COMPLETED SUCCESSFULLY AND WITHOUT COMPLICATIONS. THE PATIENT IS DOING WELL POSTOPERATIVELY, WITH NO SIDE EFFECTS. THE EXPLANTED DEVICES WILL NOT BE RETURNED TO BOSTON SCIENTIFIC, AS THEY WERE RETAINED BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2474840 VERCISE? CARTESIA? STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY BOSTON SCIENTIFIC NEUROMODULATION CORPORATION DB-2202-45 7133304 08714729905288

Patients

Seq Age Sex Outcome Treatment
1 60 YR Male Required Intervention