FDA Adverse Event Injury Summary report: N

SOLETRA

MDR report key: 3245415 · Received July 24, 2013

Report

Report Number
3007566237-2013-02469
Event Type
Injury
Date Received
July 24, 2013
Report Date
April 7, 2013
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT AFTER IMPLANT THE PATIENT HAD TINNITUS, FELT ¿PALPITATE,¿ AND TIGHTNESS IN THE CHEST. THE PATIENT WAS A DJ AND WONDERED WHETHER THE DJ DEVICE INFLUENCED THE IMPLANT. ADDITIONAL INFORMATION WAS REQUESTED, BUT WAS NOT AVAILABLE AS OF THE DATE OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
346439 SOLETRA STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY MEDTRONIC NEUROMODULATION 7426

Patients

Seq Age Sex Outcome Treatment
1 00031 YR Other