FDA Adverse Event Injury Summary report: N

STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR

MDR report key: 5667831 · Received May 19, 2016

Report

Report Number
3007566237-2016-02055
Event Type
Injury
Date Received
May 19, 2016
Date of Event
January 1, 2016
Report Date
May 19, 2016
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DATE OF EVENT: PLEASE NOTE THAT THIS DATE IS BASED OFF OF THE DATE OF PUBLICATION OF THE ARTICLE AS THE EVENT DATES WERE NOT PROVIDED IN THE PUBLISHED LITERATURE. THE DEVICE WAS USED FOR AN OFF LABEL INDICATION. A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

AKRAM, H., MILLER, S., LAGRATA, S., HYAM, J., JAHANSHAHI, M., HARIZ, M., MATHARU, M., ZRINZO, L. VENTRAL TEGMENTAL AREA DEEP BRAIN STIMULATION FOR REFRACTORY CHRONIC CLUSTER HEADACHE. NEUROLOGY. 2016. 86:1¿7. SUMMARY: TO PRESENT OUTCOMES IN A COHORT OF MEDICALLY INTRACTABLE CHRONIC CLUSTER HEADACHE (CCH) PATIENTS TREATED WITH VENTRAL TEGMENTAL AREA (VTA) DEEP BRAIN STIMULATION (DBS). REPORTED EVENT FOR PATIENT 1: A (B)(6) MALE PATIENT WHO HAD RECEIVED AN OCCIPITAL NERVE STIMULATOR (ONS) IMPLANTED TO TREAT THEIR CHRONIC CLUSTER HEADACHE (CCH) FAILED TO RESPOND ADEQUATELY WITH LIMITED OR SHORT LASTING EFFECT. AS A RESULT THEY HAD THEIR ONS DEVICE EXPLANTED IN EXCHANGE FOR A DEEP BRAIN STIMULATION (DBS) SYSTEM. IT WAS REPORTED THAT ALL PATIENTS WERE IMPLANTED WITH MODEL 3389 LEAD(S) AND EITHER A "SINGLE OR DUAL CHANNEL" IMPLANTABLE NEUROSTIMULATOR. IT WAS NOT POSSIBLE TO ASCERTAIN ANY ADDITIONAL SPECIFIC DEVICE INFORMATION FROM THE ARTICLE OR TO MATCH THE REPORTED EVENT WITH ANY PREVIOUSLY REPORTED EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
322342 STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY MEDTRONIC NEUROMODULATION NEU_INS_STIMULATOR UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention