FDA Adverse Event Injury Summary report: N

KINETRA

MDR report key: 3854054 · Received June 6, 2014

Report

Report Number
3007566237-2014-01555
Event Type
Injury
Date Received
June 6, 2014
Report Date
May 13, 2014
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MRU
PMA / PMN Number
H020007
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE INFORMATION FROM THE ARTICLE OR TO MATCH THE EVENTS REPORTED WITH PREVIOUSLY REPORTED EVENTS. CORRESPONDENCE HAS BEEN SENT TO THE AUTHOR OF THE ARTICLE INQUIRING ABOUT ADDITIONAL INFORMATION REGARDING THE REPORTED EVENT. CONCOMITANT MEDICAL PRODUCTS: PRODUCT ID 3387, LOT# UNKNOWN, PRODUCT TYPE: LEAD. (B)(4).

Description of Event or Problem · 1

PAULS, K. A., HAMMESFAHR, S., MORO, E., MOORE, P., BINDER, E., EL MAJDOUB, F., FINK, G., VOLKER, S., KRAUSS, J., MAAROUF, M., TIMMERMANN, L. DEEP BRAIN STIMULATION IN THE VENTROLATERAL THALAMUS/SUBTHALAMIC AREA IN DYSTONIA WITH HEAD TREMOR. MOVEMENT DISORDERS: OFFICIAL JOURNAL OF THE MOVEMENT DISORDER SOCIETY. 2014; VOL. 00 (00). DOI: 10.1002/MDS.25884. SUMMARY: PALLIDAL DEEP BRAIN STIMULATION (GPI-DBS) EFFECTIVELY AMELIORATES IDIOPATHIC DYSTONIA, ALTHOUGH APPROXIMATELY 15% OF PATIENTS RESPOND INSUFFICIENTLY. ALTHOUGH VARIOUS THALAMIC AND SUBTHALAMIC TARGETS HAVE BEEN SUGGESTED FOR DYSTONIC TREMOR, NO SYSTEMATIC STUDIES HAVE BEEN PUBLISHED ON THALAMIC DBS IN DYSTONIC TREMOR. WE ASSESSED THE EFFECT OF THALAMIC/SUBTHALAMIC AREA DBS (TH-DBS) ON DYSTONIC HEAD TREMOR AND DYSTONIA IN A SINGLE-BLIND DESIGN. DYSTONIC HEAD TREMOR AND DYSTONIA BEFORE AND 3 MONTHS AFTER SURGERY WERE QUANTIFIED VIA BLINDED VIDEO-RATINGS USING THE FAHN-TOLOSA-MARIN-TREMOR-SCALE AND THE BURKE-FAHN-MARSDEN-DYSTONIA-RATING-SCALE IN SEVEN PATIENTS WITH IDIOPATHIC CERVICAL OR SEGMENTAL DYSTONIA, DYSTONIC HEAD TREMOR, AND BILATERAL TH-DBS. PAIN, SIDE EFFECTS, ADVERSE EVENTS, AND STIMULATION PARAMETERS WERE ASSESSED. TH-DBS IMPROVED DYSTONIC TREMOR AND DYSTONIA (P <(><<)> 0.05; 57.1% AND 70.4%, RESPECTIVELY). HEAD TREMOR AMPLITUDE AND PAIN WERE ALSO IMPROVED (P <(><<)> 0.05; 77.5% AND 90.0%, RESPECTIVELY). SIDE EFFECTS INCLUDED DYSARTHRIA, GAIT DISTURBANCE, SLOWNESS OF MOVEMENT, AND WEIGHT GAIN. DYSTONIC HEAD TREMOR AND DYSTONIA CAN BE IMPROVED WITH TH-DBS. REPORTED EVENT: ONE (B)(6) FEMALE PATIENTS EXPERIENCED DEPRESSION WITH SUICIDAL THOUGHTS. THE SOURCE LITERATURE INCLUDED THE FOLLOWING DEVICE SPECIFICS: KINETRA MODEL 7428 AND LEAD MODEL 3387 FURTHER INFORMATION HAS BEEN REQUESTED; A SUPPLEMENTAL REPORT WILL BE SUBMITTED IF ADDITIONAL INFORMATION IS RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
330898 KINETRA IMPLANTED SUBCORTICAL ELECTRICAL STIMULATOR (MOTOR DISORDERS) MRU MEDTRONIC NEUROMODULATION 7428 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 00076 YR Life Threatening