FDA Adverse Event Injury Summary report: N

INFUSION PUMP

MDR report key: 3142732 · Received June 3, 2013

Report

Report Number
3007566237-2013-01833
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/REPORTED EVENT: THE PATIENT WAS A 41-YEAR-OLD 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 (9 AND 18 YEARS). THE PREGNANCY WAS UNEVENTFUL UP TO THE 23RD 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 30TH WEEK BACK PAIN INCREASED IN THE AREA OF PREVIOUS BACK SURGERY. AT 35 + 3RD A PRETERM NORMAL-TO-DATES INFANT ((B)(6)) WAS DELIVERED BY CAESAREAN SECTION (LSCS). 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
244172 INFUSION PUMP PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION NEU_UNKNOWN_PUMP

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention