FDA Adverse Event Injury Summary report: N

RESTORE ULTRA

MDR report key: 3073628 · Received April 23, 2013

Report

Report Number
3004209178-2013-06793
Event Type
Injury
Date Received
April 23, 2013
Report Date
April 5, 2013
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
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

PRODUCT ID: 37743, SERIAL# (B)(4), IMPLANTED: (B)(6) 2008, PRODUCT TYPE: PROGRAMMER. PRODUCT ID: 3708140, SERIAL# (B)(4), IMPLANTED: (B)(6) 2008, PRODUCT TYPE: EXTENSION. PRODUCT ID: 3708140, SERIAL# (B)(4), IMPLANTED: (B)(6) 2008, PRODUCT TYPE: EXTENSION. PRODUCT ID: 39565-30, SERIAL# (B)(4), IMPLANTED: (B)(6) 2008, EXPLANTED: (B)(6) 2013, PRODUCT TYPE: LEAD. PRODUCT ID: 39565-30, SERIAL# (B)(4), IMPLANTED: (B)(6) 2008, EXPLANTED: (B)(6) 2013, PRODUCT TYPE: LEAD. (B)(4).

Description of Event or Problem · 1

ADDITIONAL INFORMATION REPORTED THAT THE PATIENT WAS "UNCOMFORTABLE" WITH THE STIMULATION. IF ADDITIONAL INFORMATION IS RECEIVED, A SUPPLEMENTAL WILL BE FILED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT EXPERIENCED NO STIMULATION SENSATION AS WELL AS A LOSS OF THERAPEUTIC EFFECT. THE REPORTER STATED THAT "T STARTED OUT" WHERE THE PATIENT WAS JUST SITTING AND "IT WENT OFF" BUT WAS STILL SHOWING AS BEING ON. THE PATIENT THEREFORE TURNED IT OFF, WAITED AND TURNED IT BACK ON. THE PATIENT HAD REPORTEDLY KEPT STIMULATION ON BUT COULD NOT CONSISTENTLY FEEL STIMULATION SENSATION. IT WAS NOTED THAT THE PATIENT NOTICED THE LACK OF THERAPEUTIC EFFECT AND INTERMITTENT LACK OF STIMULATION SENSATION ON (B)(6) 2013. THE REPORTER ALSO INDICATED THAT THE PATIENT HAD NOTICED THAT STIMULATION "CHANGED POSITIONALLY" AND WHEN THE PATIENT "LEANED FORWARD" SHE GOT "A LITTLE JOLT." THE PATIENT WAS ALSO EXPERIENCING SYMPTOMS OF ACUTE PAIN. ADDITIONALLY, THE PATIENT HAD NOT BEEN GETTING ANY PAIN RELIEF AND HER FEET "HAD BEEN ON FIRE ALL WEEK." THESE SYMPTOMS, AS WELL AS THE CHANGES IN STIMULATION PATTERN, WERE NOTED TO HAVE OCCURRED FOLLOWING A FALL THE PATIENT HAD A MONTH PRIOR TO THE REPORT. THE PATIENT WAS INDICATED TO HAVE MET WITH HER HEALTHCARE PROVIDER (HCP) AND AN X-RAY WAS DONE BUT THE RESULTS WERE NOT AVAILABLE AT THE TIME OF THE REPORT. AT THE TIME OF THE REPORT, AN ATTEMPT WAS MADE TO TRY ALL THE PATIENT'S PROGRAMS BUT NONE OF THEM WORKED FOR HER. ONE OF THE PATIENT'S PROGRAMS WAS NOTED TO HAVE BEEN WORKING "SOMEWHAT" BUT WAS THE PROGRAM THAT "DID THE PATIENT'S RIBS REALLY BAD." IT WAS ALSO NOTED THAT THE FEELING OF STIMULATION WAS GOING "ON AND OFF" AND THE PATIENT WAS FEELING NO STIMULATION AT THE TIME OF THE REPORT. IT WAS LATER REPORTED THAT THE IMPLANTABLE NEUROSTIMULATOR (INS) WAS INTERROGATED AND TROUBLESHOOTING WAS DONE ON (B)(6) 2013. IT WAS UNCLEAR WHAT THE OUTCOME OF THE INTERROGATION WAS. THE PATIENT WAS ALSO REPROGRAMMED THAT SAME DAY BUT STIMULATION WAS STILL INTERMITTENT. THE REPORTER INDICATED THAT THE PATIENT'S HCP DECIDED TO HAVE A SURGICAL REVISION. THE PATIENT WAS REPORTEDLY DOING FINE POST-OPERATIVELY. FOLLOW-UP WITH THE PATIENT'S HCP INDICATED THAT X-RAY RESULTS SHOWED THAT THE LEAD HAD MIGRATED. AS A RESULT, THE PATIENT WAS UNABLE TO FEEL STIMULATION IN HER LEGS AND THORACIC AREA. THE IMPLANTABLE NEUROSTIMULATOR (INS) WAS REPLACED, AND THE LEAD WAS REVISED AND REPOSITIONED. THERE WAS NO PATIENT INJURY AND NO HOSPITALIZATION WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
175105 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 00053 YR Required Intervention