FDA Adverse Event Injury Summary report: N

KINETRA

MDR report key: 3092640 · Received May 3, 2013

Report

Report Number
9614453-2013-01041
Event Type
Injury
Date Received
May 3, 2013
Report Date
April 25, 2013
Manufacturer
IPG MFG SWITZERLAND
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT WAS IN THE ICU BECAUSE HE WAS SEPTIC AND INTUBATED. THE SEPSIS WAS NOT BELIEVED TO BE DEVICE RELATED, BUT THE PATIENT HAD ALSO EXPERIENCED A RETURN OF SYMPTOMS. IT WAS NOTED THAT THE PATIENT HAD EXPERIENCED SEVERAL FALLS AND THE HCP WAS WORRIED ABOUT A POTENTIAL DISCONNECT OR LEAD BREAKAGE. IT WAS ALSO REPORTED THAT WHEN PERFORMING AN EKG THE HCP DID NOT SEE ANY INTERFERENCE FROM THE DBS SYSTEM, DESPITE THE PROGRAMMER INDICATING THAT THE DEVICE WAS ON ANDWORKING FINE.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED FROM THE HCP REPORTED THAT THE SYMPTOMS WERE NOT DEVICE RELATED. THE PATIENT HAD A KIDNEY INFECTION WITH SEVERAL OTHER BACTERIA. A PROGRAMMER WAS FOUND AN A NURSE WAS TALKED THROUGH HOW TO USE IT. IT WAS REPORTED THAT THE PATIENT CONTINUED TO IMPROVE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A CLINICIAN PROGRAMMER WAS AVAILABLE TO THE NEUROLOGIST AND UNDER GUIDANCE A SYSTEM CHECK WAS PERFORMED. IT WAS NOTED THAT ALL IMPEDANCES WERE NORMAL AND THERE WAS NO INDICATION THAT THE IMPLANTABLE NEUROSTIMULATOR WAS REACHING END-OF-LIFE (EOL). IT WAS DETERMINED THAT THE CAUSE FOR RETURN OF ¿SYSTEMS¿ WAS DUE TO DISEASE STATE AND COMORBIDITIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
194543 KINETRA STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY IPG MFG SWITZERLAND 7428

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R