FDA Adverse Event Injury Summary report: N

INFUSION PUMP

MDR report key: 2962189 · Received February 14, 2013

Report

Report Number
3007566237-2013-00491
Event Type
Injury
Date Received
February 14, 2013
Report Date
February 5, 2013
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CONCOMITANT MEDICAL PRODUCTS: CATHETER: MODEL: UNK, SERIAL/LOT#: UNK, IMPLANTED: UNK, EXPLANTED: UNK. IT WAS NOT POSSIBLE TO MATCH THESE EVENTS WITH ANY PREVIOUSLY REPORTED EVENTS. (B)(4).

Description of Event or Problem · 1

ALETON E, DECAVEL P, MICHEL F, BEVALOT J, GODARD J, PARRATTE B. INTRATHECAL BACLOFEN FOR SPASTICITY MANAGEMENT: A COMPARATIVE ANALYSIS OF COMPLICATIONS IN A SERIES OF 88 PUMPS FOR ADULTS AND CHILDREN. ANNALS OF PHYSICAL AND REHABILITATION MEDICINE. 2012;55(SUPPL 1):E336+E339. SUMMARY: THE OBJECTIVE WAS TO EXAMINE DIFFERENCES IN COMPLICATION RATES BETWEEN CHILDREN AND ADULTS TREATED BY INTRATHECAL BACLOFEN. MATERIAL AND METHOD.- RETROSPECTIVE CHART REVIEW OF 73 PATIENTS (ADULTS AND CHILDREN; 88 PUMPS) WITH A DIAGNOSIS OF SEVERE SPASTICITY REQUIRING INTRATHECAL BACLOFEN THERAPY. COMPLICATION RATES BY CATEGORY WERE AS FOLLOWS: RELATED TO HUMAN ERROR: 8%, RELATED TO BACLOFEN: 11%, RELATED TO SURGERY: 19% AND RELATED TO THE IMPLANTABLE DEVICE: 27%. COMPLICATIONS WERE MORE FREQUENT IN ADULTS THAN IN CHILDREN, EXCEPT FOR COMPLICATIONS RELATED TO SURGERY. THE COMPLICATION RATE RELATED TO THE IMPLANTABLE DEVICE WAS HIGHER IN AMBULATORY PATIENTS. THE COMPLICATION RATES RELATED TO SURGERY AND THE IMPLANTABLE DEVICE DECREASED DURING THE COURSE OF THE STUDY. CONCLUSIONS - THE OVERALL COMPLICATION RATE OBSERVED IN OUR SERIES IS COMPARABLE TO THAT REPORTED IN THE LITERATURE AND, IN CONTRAST WITH THE LITERATURE, WAS NOT HIGHER IN CHILDREN THAN IN ADULTS. ONLY COMPLICATIONS RELATED TO THE SURGICAL PROCEDURE WERE SLIGHTLY MORE COMMON IN CHILDREN. BACLOFEN PUMP IMPLANTATION IN CHILDREN IS THEREFORE A SAFE PROCEDURE. REPORTED EVENTS: RETROSPECTIVE CHART REVIEW OF 73 PATIENTS (ADULTS AND CHILDREN; 88 PUMPS) WITH A DIAGNOSIS OF SEVERE SPASTICITY REQUIRING INTRATHECAL BACLOFEN THERAPY. COMPLICATION RATES BY CATEGORY WERE AS FOLLOWS: RELATED TO HUMAN ERROR: 8%, RELATED TO BACLOFEN: 11%, RELATED TO SURGERY:19% AND RELATED TO THE IMPLANTABLE DEVICE: 27%. COMPLICATIONS WERE MORE FREQUENT IN ADULTS THAN IN CHILDREN, EXCEPT FOR COMPLICATIONS RELATED TO SURGERY. THE COMPLICATION RATE RELATED TO THE IMPLANTABLE DEVICE WAS HIGHER IN AMBULATORY PATIENTS. THE COMPLICATION RATES RELATED TO SURGERY AND THE IMPLANTABLE DEVICE DECREASED DURING THE COURSE OF THE STUDY. THE NATURE OF THE COMPLICATIONS WAS NOT SPECIFIED. ADDITIONAL INFORMATION IS BEING REQUESTED AT THIS TIME; A SUPPLEMENTAL REPORT WILL BE SUBMITTED IF ADDITIONAL INFORMATION IS RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
64356 INFUSION PUMP PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION NEU_UNKNOWN_PUMP

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention