FDA Adverse Event Injury Summary report: N

IMPLANTED DRUG INFUSION PUMP

MDR report key: 7573924 · Received June 6, 2018

Report

Report Number
3007566237-2018-01708
Event Type
Injury
Date Received
June 6, 2018
Date of Event
March 1, 2018
Report Date
June 6, 2018
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P8760004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

BUXTON K, DIFAZIO R, MORGAN A, MCCABE M, FORBES PW. INTRATHECAL BACLOFEN THERAPY PRIOR TO SPINAL FUSION FOR PATIENTS WITH GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM IV-V CEREBRAL PALSY. ORTHOP NURS. 2018;37(2):136-143.DOI: 10.1097/NOR.0000000000000434. PLEASE NOTE THAT THIS DATE IS BASED OFF THE DATE OF PUBLICATION AS THE ACTUAL EVENT DATE WAS NOT PROVIDED. IT WAS NOT POSSIBLE TO MATCH THIS EVENT WITH ANY PREVIOUSLY REPORTED EVENT. CONTINUATION OF MEDICAL DEVICES: PRODUCT ID NEU_UNKNOWN_CATH, PRODUCT TYPE CATHETER. INFORMATION REFERENCES THE MAIN COMPONENT OF THE SYSTEM. OTHER RELEVANT DEVICE(S) ARE: PRODUCT ID: NEU_UNKNOWN_CATH. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED. (B)(4).

Description of Event or Problem · 1

SUMMARY: THIS STUDY SOUGHT TO COMPARE POSTOPERATIVE RECOVERY FOLLOWING SPINAL FUSION IN PATIENTS USING ITB THERAPY WITH THOSE WITH NO ITB THERAPY. REPORTED EVENTS: ONE PATIENT WITH AN ITB PUMP EXPERIENCED WITHDRAWAL RELATED TO CATHETER DISRUPTION AND RETURNED TO THE OPERATING ROOM FOR REPAIR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
415993 IMPLANTED DRUG INFUSION PUMP PUMP, INFUSION, IMPLANTED, PROGRAMMABLE LKK MEDTRONIC NEUROMODULATION NEU_UNKNOWN_PUMP

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention