FDA Adverse Event Injury Summary report: N

UNKNOWN EXTERNAL NEUROSTIMULATOR

MDR report key: 2833076 · Received November 15, 2012

Report

Report Number
3007566237-2012-02714
Event Type
Injury
Date Received
November 15, 2012
Report Date
October 16, 2012
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P840001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

FURTHER REVIEW INDICATED THAT THE EVENT OCCURRED DURING THE USE OF AN EXTERNAL NEUROSTIMULATOR (ENS), NOT AFTER THE IMPLANTATION OF AN IMPLANTABLE NEUROSTIMULATOR (INS). ADDITIONAL INFORMATION RECEIVED REPORTED THAT PATIENT WAS CALM DURING STITCH REMOVAL. SEVEN WEEKS LATER, IT WAS REPORTED THAT THE SEIZURES WERE NOT DEVICE RELATED. THE REPORTER STATED THAT THE EVENT HAPPENED DUE TO ANXIETY WHILE THE STITCHES FROM THE LEAD INSERTION SITE WERE BEING REMOVED. IT WAS REPORTED THAT THE PATIENT HADN'T EXPERIENCED ANY ADDITIONAL SEIZURE EPISODES, AS FAR AS THE REPORTER KNEW.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHEN THE PATIENT WAS AT AN APPOINTMENT TO HAVE THEIR STITCHES REMOVED AFTER IMPLANTATION OF THE IMPLANTABLE NEUROSTIMULATOR (INS), THEY LOST CONSCIOUS AND SUFFERED A SEIZURE. IT WAS NOTED THAT THE PATIENT HAD NO PRIOR HISTORY OF EPILEPSY AND IT WAS BELIEVED TO BE AN ISOLATED INCIDENT (NO FURTHER EPISODES REPORTED) MOST LIKELY DUE TO VAGAL NERVE REACTION FROM THE SUTURE REMOVAL PROCEDURE. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, A FOLLOW UP REPORT WILL BE SENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNKNOWN EXTERNAL NEUROSTIMULATOR STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW MEDTRONIC NEUROMODULATION NEU_ENS_STIMULATOR

Patients

Seq Age Sex Outcome Treatment
1 Other| R