FDA Adverse Event Injury Summary report: N

SYNCHROMED II

MDR report key: 2950613 · Received February 8, 2013

Report

Report Number
3007566237-2013-00430
Event Type
Injury
Date Received
February 8, 2013
Report Date
January 22, 2013
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT ID: 8709, SERIAL# (B)(4), IMPLANTED: (B)(6) 2005, PRODUCT TYPE: CATHETER. (B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS SUSPICION OF GRANULOMA FORMATION IN THE EPIDURAL SPACE IN RESPONSE TO MORPHINE. AN MRI OF THE THORACIC SPINE WAS PERFORMED ON (B)(6) 2011, HOWEVER, THE RESULTS WERE NOT PROVIDED. IT WAS REPORTED THE DIAGNOSTIC METHODS INCLUDED DEVICE INTERROGATION. THE PATIENT EXPERIENCED LEFT ARM WEAKNESS, PARESTHESIA, AND MILD CHEST WALL NUMBNESS. IT WAS NOTED THE OUTCOME WAS DETERMINED TO BE AN ONGOING EVENT. THE DEVICE SYSTEM WAS USED TO DELIVER MORPHINE AND CLONIDINE. IT WAS LATER REPORTED AFTER THE PATIENT HAD THE MRI, SHE RETURNED TO THE CLINIC TO HAVE HER INTRATHECAL THERAPY SUSPENDED AND THE DRUG IN THE PUMP WAS REPLACED WITH STERILE SALINE ON (B)(6) 2011. IT WAS REPORTED THE MRI WITHOUT CONTRAST REVEALED A CATHETER TIP GRANULOMA. IT WAS NOTED THIS WAS RELATED TO THE DRUG AND IT WAS REPORTED, "MORPHINE INDUCED GRANULOMA FORMATION." IT WAS LATER REPORTED REIMAGING OF THE SPINE, AN MRI WITH AND WITHOUT CONTRAST, SHOWED COMPLETE RESOLUTION OF THE CATHETER TIP GRANULOMA AS OF (B)(6) 2011. IT WAS REPORTED THERAPY RESUMED ON (B)(6) 2011. THE OUTCOME OF THE PATIENT WAS REPORTED TO HAVE BEEN RESOLVED WITHOUT SEQUELAE AS OF (B)(6) 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
55100 SYNCHROMED II PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION 8637-20

Patients

Seq Age Sex Outcome Treatment
1 00047 YR Other