STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN SYMPTOMS
Report
- Report Number
- 3006630150-2026-00925
- Event Type
- Injury
- Date Received
- February 16, 2026
- Date of Event
- January 22, 2026
- Report Date
- April 6, 2026
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- NHL
- UDI-DI
- 08714729966340
- PMA / PMN Number
- P150031
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE DEVICES WERE NOT RETURNED FOR ANALYSIS AS THEY WERE RETAINED BY THE CUSTOMER. AS SUCH, PHYSICAL ANALYSIS WAS UNABLE TO BE PERFORMED. HOWEVER, IT WAS CONFIRMED THESE DEVICES MET MANUFACTURING SPECIFICATION PRIOR TO DISTRIBUTION AND THERE WERE NO MANUFACTURING DEVIATIONS WHICH COULD HAVE CONTRIBUTED TO THE REPORTED EVENT. REVIEW OF THE INSTRUCTIONS FOR USE (IFU) CONFIRMED THAT IMPLANT SITE COMPLICATIONS SUCH AS PAIN, POOR HEALING, REDNESS, WARMTH, SWELLING OR WOUND REOPENING AS WELL AS INFECTION ARE KNOWN RISKS WITH USE OF DBS. BASED ON A THOROUGH REVIEW OF THE REPORTED COMPLAINT, BOSTON SCIENTIFIC HAS ASSIGNED AN INVESTIGATION CONCLUSION CODE OF KNOWN INHERENT RISK OF DEVICE. BLOCK B3: EXACT DATE UNKNOWN, BASED OFF BSC AWARE DATE ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: DB-2203-45. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 5002075. MODEL/CATALOG DESCRIPTION: ARGYLE LEAD 45CM STERILE KIT. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: DB-3216-55. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 5002211. MODEL/CATALOG DESCRIPTION: ARGYLE EXTENSION 55CM STERILE KIT. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: DB-3216-55. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 5002208. MODEL/CATALOG DESCRIPTION: ARGYLE EXTENSION 55CM STERILE KIT. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: DB-1232. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 795508. MODEL/CATALOG DESCRIPTION: VERCISE GENUS R32 IPG KIT. UNIQUE IDENTIFIER (UDI) #: (B)(4).
BLOCK B3: EXACT DATE UNKNOWN, BASED OFF BSC AWARE DATE ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: UPN: M365DB2203450 MODEL: DB-2203-45 SERIAL: (B)(6). BATCH: 5002075 UDI: (B)(4). PRODUCT FAMILY: DBS-EXTENSION UPN: M365DB3216550 MODEL: DB-3216-55 SERIAL: (B)(6). BATCH: 5002208 UDI: (B)(4). PRODUCT FAMILY: DBS-EXTENSION UPN: M365DB3216550 MODEL: DB-3216-55 SERIAL: (B)(6). BATCH: 5002211 UDI: (B)(4). PRODUCT FAMILY: DBS-IPG-R-MRI UPN: M365DB12320 MODEL: DB-1232 SERIAL: (B)(6). BATCH: 795508 UDI: (B)(4).
IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT EXPERIENCED DEHISCENCE AT THE LEAD/LEAD EXTENSION SITE WHERE A LEAD HAD PROTRUDED THROUGH THE SKIN. THEREFORE, THE PATIENT UNDERWENT AN EXPLANT PROCEDURE OF THEIR DBS SYSTEM AND A CULTURE WAS TAKEN INTRAOPERATIVELY. DUE TO HOSPITAL POLICY, THE CULTURE RESULTS WERE UNABLE TO BE DISCLOSED TO BSC. THERE WERE NO REPORTED PATIENT COMPLICATIONS POSTOPERATIVELY AND THE PATIENT WAS PLACED ON ANTIBIOTIC MEDICATION. THE EXPLANTED DEVICES WILL NOT BE RETURNED AS THEY WERE RETAINED BY THE CUSTOMER.
IT WAS REPORTED THAT THE DEEP BRAIN STIMULATION (DBS) PATIENT EXPERIENCED DEHISCENCE AT THE LEAD/LEAD EXTENSION SITE WHERE A LEAD HAD PROTRUDED THROUGH THE SKIN. THEREFORE, THE PATIENT UNDERWENT AN EXPLANT PROCEDURE OF THEIR DBS SYSTEM AND A CULTURE WAS TAKEN INTRAOPERATIVELY. DUE TO HOSPITAL POLICY, THE CULTURE RESULTS WERE UNABLE TO BE DISCLOSED TO BSC. THERE WERE NO REPORTED PATIENT COMPLICATIONS POSTOPERATIVELY AND THE PATIENT WAS PLACED ON ANTIBIOTIC MEDICATION. THE EXPLANTED DEVICES WILL NOT BE RETURNED AS THEY WERE RETAINED BY THE CUSTOMER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 412797 | STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN SYMPTOMS | NHL | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | DB-2203-45 | 5002665 | 08714729966340 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Male | Required Intervention |