FDA Adverse Event Injury Summary report: N

INFUSION PUMP

MDR report key: 3142718 · Received June 3, 2013

Report

Report Number
3007566237-2013-01834
Event Type
Injury
Date Received
June 3, 2013
Report Date
May 13, 2013
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CATHETER MODEL: UNK SERIAL/LOT#: UNK, (B)(4).

Description of Event or Problem · 1

KRETZSCHMAR, M., GRO, W., SEIDEL, J., PETERS, F., REMANE, D. ABSTRACTS FROM THE ANNUAL MEETING OF THE GERMAN SOCIETY OF NEUROMODULATION (DGNM) JOINT MEETING WITH THE NEUROMODULATION SOCIETY OF THE UNITED KINGDOM AND IRELAND (NSUKI). 23-24 NOVEMBER 2012, BERLIN, GERMANY. INTRATHECAL HYDROMORPHON AND PREGNANCY: CASE REPORT AND IMPLICATIONS FOR CLINICAL CARE. NEUROMODULATION: TECHNOLOGY AT THE NEURAL INTERFACE. 2013;16(2):E5. SUMMARY: THE PATIENT WAS A (B)(6) WITH A HISTORY OF FAILED BACK SURGERY SYNDROME WHOSE INTRACTABLE PAIN HAS BEEN MANAGED WITH INTRATHECAL HYDROMORPHONE 1.2 MG PER DAY VIA AN IMPLANTED PUMP FOR 1.5 YEARS. THIS WAS THE THIRD PREGNANCY, THE PATIENT ALREADY HAS TWO CHILDREN (B)(6). THE PREGNANCY WAS UNEVENTFUL UP TO THE (B)(6) WEEK WITHOUT ANY PROBLEMS. AT THAT STAGE SHE DEVELOPED SHORT LIVED HYPERTENSIVE EPISODES FOR A FEW DAYS WHICH WERE WELL CONTROLLED BY ANTIHYPERTENSIVE DRUGS. FROM THE (B)(6) WEEK BACK PAIN INCREASED IN THE AREA OF PREVIOUS BACK SURGERY. AT (B)(6) A PRETERM NORMAL-TO-DATES INFANT (B)(6) WAS DELIVERED BY CAESAREAN SECTION (LSCS). BECAUSE OF RESPIRATORY DISTRESS THE CHILD WAS ADMITTED TO SPECIAL CARE BABY UNIT FOR 8 DAYS. THE CHILD WAS DISCHARGED HOME IN STABLE CONDITIONS. THE ANALYSIS OF UMBILICAL CORD BLOOD AND 24 HOUR-URINE SAMPLE OF THE NEWBORN CHILD FOR HYDROMORPHONE AND ITS METABOLITES SHOWED UNEQUIVOCAL RESULTS (PROOF BORDER: 0.5 PG/ML). THIS PAPER REVIEWS LITERATURE TO DATE AND PRESENTS THE PARTICULARITY OF OUR CASE. IT ALSO DISCUSSES MANAGEMENT OF PREGNANT PATIENTS WITH AN INTRATHECAL PUMP INCLUDING INFORMATION ABOUT SAFETY AND EFFICACY OF THIS TREATMENT. REPORTED EVENT: THIS FILE IS IN RELATION TO THE NEWBORN. AT (B)(6) A PRETERM NORMAL-TO-DATES INFANT (B)(6)WAS DELIVERED BY CAESAREAN SECTION (LSCS). BECAUSE OF RESPIRATORY DISTRESS THE CHILD WAS ADMITTED TO SPECIAL CARE BABY UNIT FOR 8 DAYS. THE CHILD WAS DISCHARGED HOME IN STABLE CONDITIONS. THE ANALYSIS OF UMBILICAL CORD BLOOD AND 24 HOUR-URINE SAMPLE OF THE NEWBORN CHILD FOR HYDROMORPHONE AND ITS METABOLITES SHOWED UNEQUIVOCAL RESULTS (PROOF BORDER: 0.5 PG/ML).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
245056 INFUSION PUMP PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION NEU_UNKNOWN_PUMP

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization