FDA Adverse Event Death Summary report: N

UNKNOWN IMPLANTABLE NEUROSTIMULATOR

MDR report key: 5813426 · Received July 21, 2016

Report

Report Number
3007566237-2016-02705
Event Type
Death
Date Received
July 21, 2016
Date of Event
April 11, 2005
Report Date
July 21, 2016
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PLEASE NOTE THAT THIS IS THE GENDER OF THE MAJORITY OF PATIENTS REPORTED IN THE ARTICLE AS THE ACTUAL GENDERS OF PATIENTS INVOLVED WAS NOT PROVIDED. DATE OF EVENT. PLEASE NOTE THAT THIS DATE IS BASED OFF THE DATE OF PUBLICATION OF THE ARTICLE AS THE ACTUAL EVENT DATE WAS NOT PROVIDED. SECTION D INFORMATION REFERENCES THE MAIN COMPONENT OF ONE OF THE SYSTEMS INVOLVED IN THE REPORTED EVENTS; OTHER APPLICABLE COMPONENTS ARE: PRODUCT ID: NEU_INS_STIMULATOR, PRODUCT TYPE: IMPLANTABLE NEUROSTIMULATOR. 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

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.

Description of Event or Problem · 1

SCHUPBACH, W.M.M., CHASTAN, N., WELTER, M.L., HOUETO, J.L., MESNAGE, V., BONNET, A.M., AGID, Y. STIMULATION OF THE SUBTHALAMIC NUCLEUS IN PARKINSON'S DISEASE: A 5 YEAR FOLLOW UP. JOURNAL OF NEUROLOGY, NEUROSURGERY, AND PSYCHIATRY. 2005. 76(12), 1640-4. DOI: 10 .1136/JNNP.2005.063206 SUMMARY: THE SHORT TERM BENEFITS OF BILATERAL STIMULATION OF THE SUBTHALAMIC NUCLEUS (STN) IN PATIENTS WITH ADVANCED LEVODOPA RESPONSIVE PARKINSON'S DISEASE (PD) ARE WELL DOCUMENTED, BUT LONG TERM BENEFITS ARE STILL UNCERTAIN. THIS STUDY PROVIDES A 5 YEAR FOLLOW UP OF PD PATIENTS TREATED WITH STIMULATION OF THE STN. REPORTED EVENTS WITHOUT PATIENT IDENTIFIERS: 1 PATIENT WITH BILATERAL SUBTHALAMIC NUCLEUS (STN) DEEP BRAIN STIMULATION (DBS) FOR PARKINSON'S DISEASE (PD) COMMITTED SUICIDE. ONE (1) PATIENT WITH BILATERAL STN DBS FOR PD DIED FROM SPONTANEOUS CEREBRAL BLEEDING OF UNKNOWN CAUSE FOUR YEARS AFTER NEUROSURGERY. FOUR (4) PATIENTS WITH BILATERAL STN DBS FOR PD EXPERIENCED A SUICIDE ATTEMPT RELATED TO MEDICAL TREATMENT, STN STIMULATION, OR PROGRESSION OF THE DISEASE. THIS WAS NOTED TO BE A TRANSIENT EFFECT WHICH WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY. ONE (1) PATIENT WITH BILATERAL STN DBS FOR PD EXPERIENCED A TRANSIENT INFECTION OF THE STIMULATOR RELATED TO THE NEUROSURGERY AND DEVICE, WHICH WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY. INFECTION OF THE LEFT STIMULATOR LED TO UNILATERAL EXPLANTATION BEFORE THE 60 MONTH ASSESSMENT. TWO (2) PATIENTS WITH BILATERAL STN DBS FOR PD REQUIRED REPOSITIONING OF THE ELECTRODES IN THE PERI-OPERATIVE PERIOD DUE TO INITIALLY U NSATISFACTORY CLINICAL RESULTS. THIS WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY; THE "POORLY PLACED" LEADS WERE SUCCESSFULLY REPLACED. ONE (1) PATIENT WITH BILATERAL STNDBD FOR PD REQUIRED THE RIGHT LEAD BE REIMPLANTED DUE TO AN ACCIDENTAL DISCONNECTION. THIS WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY. SIX (6) PATIENTS WITH BILATERAL STN DBS FOR PD EXPERIENCED TRANSIENT DELIRIUM RELATED TO THE NEUROSURGERY AND DEVICE WHICH WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY. SIX (6) PATIENTS WITH BILATERAL STN DBS FOR PD EXPERIENCED TRANSIENT HALLUCINATIONS RELATED TO MEDICAL TREATMENT, STN STIMULATION, OR PROGRESSION OF THE DISEASE WHICH WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY. FOUR (4) PATIENTS WITH BILATERAL STN DBS FOR PD EXPERIENCED TRANSIENT PSYCHOSIS RELATED TO MEDICAL TREATMENT, STN STIMULATION, OR PROGRESSION OF THE DISEASE WHICH WAS SUCCESSFULLY TREATED DURING THE WEEKS AND MONTHS FOLLOWING NEUROSURGERY. EIGHT (8) PATIENTS WITH BILATERAL STN DBS FOR PD EXPERIENCED PERMANENT DISABLING DYSKINESIAS RELATED TO MEDICAL TREATMENT, STN STIMULATION, OR PROGRESSION OF THE DISEASE. THE FOLLOWING DEVICE SPECIFICS WERE PROVIDED: LEAD MODEL 3389-28, PROGRAMMER MODEL 7532, AND IMPLANTABLE NEUROSTIMULATORS ITREL II (37 PATIENTS) AND SOLETRA (15 PATIENTS).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
464716 UNKNOWN IMPLANTABLE NEUROSTIMULATOR STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY MEDTRONIC NEUROMODULATION NEU_INS_STIMULATOR UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Death| L| O| R