FDA Adverse Event Injury Summary report: N

ENTERRA

MDR report key: 5998124 · Received October 4, 2016

Report

Report Number
3004209178-2016-20392
Event Type
Injury
Date Received
October 4, 2016
Date of Event
September 6, 2016
Report Date
December 13, 2016
Manufacturer
MEDTRONIC PUERTO RICO OPERATIONS CO.
Product Code
LNQ
PMA / PMN Number
H990014
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

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.

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE CONSUMER REPORTED THAT THEIR IMPLANTABLE NEUROSTIMULATOR (INS) WAS INTERROGATED BY THEIR HEALTH CARE PROVIDER (HCP) ON (B)(6) 2016 AND IT WAS FOUND TO BE SO LOW THAT THE HCP DIDN'T WANT TO INCREASE STIMULATION. THE HCP TOLD THE PATIENT THE INS WOULD HAVE TO BE REPLACED IN ABOUT A WEEK. THE PATIENT WAS VERY DISAPPOINTED THAT THE THERAPY ONLY LASTED FOR 1 YEAR. THE PATIENT HAD EXTREMELY HIGH SETTINGS SINCE THEY HAD ALMOST NO NERVE ENDINGS GOING TO THEIR STOMACH, BUT THOUGHT THE MANUFACTURER SHOULD STILL BE ABLE TO MANUFACTURE A DEVICE THAT COULD LAST SEVERAL YEARS EVEN IF IT WAS RAN ON HIGH SETTINGS. THE BATTERY LIFE ON THE PATIENT'S NEWER MODEL INS WAS NOT LASTING ACCORDING TO THEIR HCP. THERAPY WAS HELPING AND AT THE PATIENT'S LAST GASTRO-TEST THEY WENT FROM 30 PERCENT FOOD LEFT IN THE STOMACH TO ONLY 15 PERCENT FOOD LEFT IN THE STOMACH AFTER 4 HOURS. THE INDICATIONS FOR USE FOR THIS PATIENT WERE GASTRIC STIMULATION AND GASTROINTESTINAL/PELVIC FLOOR.

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS RECEIVED FROM THE PATIENT. THE PATIENT REPORTED THAT THE CAUSE OF THE INS NOT LASTING WAS DUE TO HIGH SETTINGS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
648902 ENTERRA INTESTINAL STIMULATOR LNQ MEDTRONIC PUERTO RICO OPERATIONS CO. 37800

Patients

Seq Age Sex Outcome Treatment
1 44 YR Required Intervention