FDA Adverse Event Injury Summary report: N

IMPLANTABLE NEUROSTIMULATOR FOR DBS

MDR report key: 5480839 · Received March 4, 2016

Report

Report Number
3007566237-2016-01209
Event Type
Injury
Date Received
March 4, 2016
Date of Event
April 1, 2003
Report Date
February 5, 2016
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE INFORMATION FROM THE ARTICLE OR TO MATCH THE REPORTED EVENTS WITH PREVIOUSLY REPORTED EVENTS. CORRESPONDENCE HAS BEEN SENT TO THE AUTHOR OF THE ARTICLE INQUIRING ABOUT INDIVIDUAL PATIENT INFORMATION AND ADDITIONAL INFORMATION REGARDING THE REPORTED EVENTS. (B)(4)

Description of Event or Problem · 1

UMEMURA, A., JAGGI, J.L., HURTIG, H.I., SIDEROWF, A.D., COLCHER, A., STERN, M.B., BALTUCH, G.H. DEEP BRAIN STIMULATION FOR MOVEMENT DISORDERS: MORBIDITY AND MORTALITY IN 109 PATIENTS. J NEUROSURG. 2003; 98 (4): 779-784. SUMMARY: THERE IS A SIGNIFICANT INCIDENCE OF ADVERSE EVENTS ASSOCIATED WITH THE DEEP BRAIN STIMULATION (DBS) PROCEDURE. NEVERTHELESS, DBS IS CLINICALLY EFFECTIVE IN WELL-SELECTED PATIENTS AND SHOULD BE SERIOUSLY CONSIDERED AS A TREATMENT OPTION FOR PATIENTS WITH MEDICALLY REFRACTORY MOVEMENT DISORDERS. REPORTED EVENTS: A (B)(6) PARKINSON'S DISEASE PATIENT EXPERIENCED "SCALP SKIN EROSION FROM THE DEEP BRAIN STIMULATION (DBS) LEAD WIRE THREE MONTHS AFTER IMPLANTATION." IT WAS NOTED "THERE WAS NO INFECTION" AND THE CONDITION "REQUIRED SURGICAL REPAIR." FURTHER INFORMATION HAS BEEN REQUESTED; A SUPPLEMENTAL REPORT WILL BE FILED IF ADDITIONAL INFORMATION IS RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136740 IMPLANTABLE NEUROSTIMULATOR FOR DBS STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY MEDTRONIC NEUROMODULATION NEU_UNKNOWN_LEAD UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 00065 YR Required Intervention