FDA Adverse Event Death Summary report: N

UNKNOWN IMPLANTABLE NEUROSTIMULATOR

MDR report key: 6096209 · Received November 11, 2016

Report

Report Number
3007566237-2016-04054
Event Type
Death
Date Received
November 11, 2016
Date of Event
August 21, 2016
Report Date
November 11, 2016
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE MAIN COMPONENT OF ONE OF THE SYSTEMS INVOLVED IN THE REPORTED EVENTS; OTHER APPLICABLE COMPONENTS ARE: PRODUCT ID NEU_INS_STIMULATOR, LOT # UNKNOWN, PRODUCT TYPE IMPLANTABLE NEUROSTIMULATOR; PRODUCT ID NEU_INS_STIMULATOR, LOT # UNKNOWN, PRODUCT TYPE IMPLANTABLE NEUROSTIMULATOR.

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

RYU, H.S., KIM, M.S., YOU, S., KIM, M-J., KIM, Y.J., KIM, J., KIM, K., CHUNG, S.J. MORTALITY OF ADVANCED PARKINSON'S DISEASE PATIENTS TREATED WITH DEEP BRAIN STIMULATION SURGERY. JOURNAL OF THE NEUROLOGICAL SCIENCES. 2016;369:230-235. SUMMARY: DESPITE THE WIDESPREAD USE OF DEEP BRAIN STIMULATION (DBS) FOR PATIENTS WITH PARKINSON'S DISEASE (PD), LONG-TERM OUTCOMES REMAIN UNCLEAR. WE AIMED TO ANALYZE THE MORTALITY OF ADVANCED PD PATIENTS WHO RECEIVED DBS SURGERY. REPORTED EVENTS: 2 PATIENTS WITH DEEP BRAIN STIMULATION (DBS) FOR PARKINSONS DISEASE (PD) DIED DUE TO INTENTIONAL SELF-HARM/SUICIDE. ONE PATIENT WITH DBS FOR PD DIED DUE TO DROWNING AND SUBMERSION WHILE IN THE BATHTUB. THREE PATIENTS WITH DBS FOR PD DIED DUE TO DEMENTIA. THERE WAS NO SPECIFIC DEVICE INFORMATION PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
746104 UNKNOWN IMPLANTABLE NEUROSTIMULATOR STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR MHY MEDTRONIC NEUROMODULATION NEU_INS_STIMULATOR UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 57 YR Death