FDA Adverse Event Injury Summary report: N

SYNCHROMED

MDR report key: 889204 · Received July 27, 2007

Report

Report Number
2182207-2007-02450
Event Type
Injury
Date Received
July 27, 2007
Report Date
May 9, 2007
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
LKK
PMA / PMN Number
P860004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

.

Description of Event or Problem · 1

THE ARTICLE LIST INFO SUGGESTING A MALE PT BEING TREATED FOR SPASTICITY WITH AN IMPLANTABLE INFUSION PUMP EXPERIENCED A PUMP RELATED INFECTION 46 DAYS POST PUMP IMPLANT. THE PT PRESENTED WITH DRAINAGE AT PUMP SURGERY SITE. ADD'L FINDINGS DURING EXPLANT SURGERY INCLUDED AN ABSCESS. NO ADD'L INFO CONCERNING PT SYMPTOMS AND OUTCOME WERE PROVIDED. JOURNAL REFERENCE: WUNDERLICH, C. ET AL. "GRAM-NEGATIVE MENINGITIS AND INFECTIONS IN INDIVIDUALS TREATED WITH INTRATHECAL BACLOFEN FOR SPASTICITY: A RETROSPECTIVE STUDY." DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY. 2006; 48: 450-455.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SYNCHROMED LKK MEDTRONIC NEUROMODULATION PUMP NA

Patients

Seq Age Sex Outcome Treatment
1 12 YR Hospitalization| R PROGRAMMER| CATHETER