FDA Adverse Event Injury Summary report: N

RESTORE ULTRA

MDR report key: 2573550 · Received May 14, 2012

Report

Report Number
3004209178-2012-03269
Event Type
Injury
Date Received
May 14, 2012
Date of Event
April 26, 2012
Report Date
April 26, 2012
Manufacturer
MEDTRONIC MED REL MEDTRONIC PUERTO RICO
Product Code
LGW
PMA / PMN Number
P840001
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT ID 8590-9 LOT# N274336, IMPLANTED: (B)(6) 2011, EXPLANTED: PRODUCT TYP ACCESSORY PRODUCT ID 3777-75 LOT# SERIAL# (B)(4). IMPLANTED: (B)(6) 2011, EXPLANTED: PRODUCT TYP LEAD PRODUCT ID 37752, SERIAL# (B)(4), IMPLANTED: EXPLANTED: PRODUCT TYP RECHARGER PRODUCT ID 37743, SERIAL# (B)(4), IMPLANTED: EXPLANTED: PRODUCT TYP PROGRAMMER, PATIENT PRODUCT ID 3550-29, LOT# N203697, IMPLANTED: (B)(6) 2011, EXPLANTED: PRODUCT TYP ACCESSORY. (B)(4).

Additional Manufacturer Narrative · 1

PRODUCT ID, 3777-75 LOT# SERIAL# (B)(4), IMPLANTED: 2011 (B)(6), EXPLANTED: 2012 (B)(6), PRODUCT TYPE LEAD.

Additional Manufacturer Narrative · 1

(B)(4)

Description of Event or Problem · 1

IT WAS REPORTED THERE WAS AN IMPEDANCE ISSUE WITH A READING >40000 OHMS ON ELECTRODES 0, 4 AND SOME COMBINATION WITH ELECTRODES 6,7. THE HIGH VALUE RANGED FROM 15,000-35,000 OHMS ON MAJORITY OF THE OTHER CONTACTS. THE ONLY GOOD COMBINATIONS WERE 1/3. 1/5, 3/5. IT WAS BELIEVED THAT 3/5 WERE GOING TO BE TOO FAR DOWN THE LEAD AS THE PATIENT WAS USING 0,1,2 AS ACTIVE ELECTRODES. THE PATIENT WAS EXPERIENCING A LOSS OF THERAPEUTIC EFFECT AND ACUTE PAIN AT THE LEAD SITE WHICH WAS PRESENT WHETHER STIM WAS ON OR OFF. THE PATIENT'S LOCATION WAS THE CLINIC. THERE WAS NO KNOWN ACCIDENT OR INCIDENT RELATED TO THIS ISSUE. THE PATIENT'S STATUS WAS FAIR. IF ADDITIONAL INFORMATION IS RECEIVED, A FOLLOW UP REPORT WILL BE SENT.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED REPORTED THE HIGH IMPEDANCES RESOLVED. IT WAS UNKNOWN WHAT DIAGNOSTIC TESTING WAS PERFORMED BUT IT WAS REPORTED THE "SYSTEM LOOKED INTACT." THE CAUSE OF THE ISSUE HAD NOT BEEN DETERMINED. AS OF THE DATE OF THIS REPORT PATIENT OUTCOME WAS UNKNOWN. A FOLLOW-UP REPORT WILL BE SENT IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED REPORTED, THE STIMULATOR "QUIT WORKING." IT WAS STATED THE LEAD WAS BROKEN. IT WAS INDICATED, THE PATIENT HAD SURGERY ON (B)(6) 2012 TO CORRECT THE LEAD. IT WAS ADDITIONALLY NOTED, THE PATIENT HAD A REPLACEMENT ON THE SAME DATE WITH A "NEW DEVICE." IT WAS UNCLEAR IF ONLY THE LEAD WAS REPLACED, OR BOTH THE LEAD AND IMPLANTABLE NEUROSTIMULATOR. IT WAS ALSO NOTED THAT THE REPORTER WAS TOLD THE "INS WAS MOVED." PER MANUFACTURER DEVICE REGISTRATION, ONLY A LEAD WAS REPLACED ON THAT DATE. A FOLLOW UP REPORT WILL BE SENT IF ADDITIONAL INFORMATION IS RECEIVED. REFER TO MANUFACTURER REPORT #3004209178-2013-01088. THE REFERENCED REPORT CONTAINS INFORMATION REGARDING ISSUES THAT FOLLOWED THE LEAD REPLACEMENT NOTED IN THIS REPORT.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED REPORTED THAT "THE PATIENT WAS SUPPOSED TO CONTACT A PHYSICIAN IF HE WANTED A REVISION". IT WAS UNCERTAIN IF THE PATIENT UNDERWENT A REVISION.

Description of Event or Problem · 1

ADDITIONAL INFORMATION: IT WAS REPORTED THAT THE PATIENT'S STIMULATION WAS NOT WORKING AND ALL OF THE CONTACTS HAD HIGH IMPEDANCES. A LEAD FRACTURE WAS SUSPECTED. ADDITIONAL INFORMATION HAS BEEN REQUESTED, BUT WAS NOT AVAILABLE AS OF THE DATE OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RESTORE ULTRA STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW MEDTRONIC MED REL MEDTRONIC PUERTO RICO 37712

Patients

Seq Age Sex Outcome Treatment
1 00071 YR Required Intervention