FDA Adverse Event Injury Summary report: N

ST JUDE MEDICAL ABBOTT NEUROSTIMULATOR TRIAL WITH LUMBAR BURST

MDR report key: 8949682 · Received August 29, 2019

Report

Report Number
MW5089462
Event Type
Injury
Date Received
August 29, 2019
Date of Event
March 21, 2019
Report Date
August 25, 2019
Manufacturer
ABBOTT MEDICAL
Product Code
GZB
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
NV, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 1

PT UNDERWENT A (B)(6) TRIAL ON 03/21/2019, HOWEVER, WHEN PT WOKE UP FROM PROCEDURE AND WAS IN RECOVERY ROOM, PT REPORTED TO NURSE SEVERE NUMBNESS AND HEAVINESS IN BOTH LOWER EXTREMITIES AND UNABLE TO MOVE LEGS. THE LEADS HAD BEEN REMOVED DUE TO SEVERE NUMBNESS AND HEAVINESS IN PT'S BILATERAL LOWER EXTREMITIES. PT HAD BEEN SENT TO THE HOSP EMERGENCY ROOM AND HAD BEEN ADMITTED FOR APPROX 7 DAYS. PT HAS BEEN DIAGNOSED WITH PARALYSIS AND LEFT FOOT DROP, CHRONIC NERVE PAIN, PERONEAL NERVE DAMAGE, NUMBNESS TO RIGHT LOWER EXTREMITY, AND WEAKNESS TO BOTH LOWER EXTREMITIES. TWO DEVICES: SERIAL NUMBERS (B)(4), REF 3086 OCTRODE SJM (01) 05414734401555(17) 210219 (21) 17965073 EXP 02/19/2021; (01) 05414734401555 (17) 210213 (21) 17955918 EXP 02/13/2021. ABBOTT REP NAME - (B)(6) PRESENT IN OPERATORY SURGERY ROOM AND IN RECOVERY ROOM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
741867 ST JUDE MEDICAL ABBOTT NEUROSTIMULATOR TRIAL WITH LUMBAR BURST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF GZB ABBOTT MEDICAL 3086 (01)05414734401555
741868 ST JUDE MEDICAL ABBOTT NEUROSTIMULATOR TRIAL WITH LUMBAR BURST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF GZB ABBOTT MEDICAL 3086 (17) 210219 (21) 17965073

Patients

Seq Age Sex Outcome Treatment
1 48 YR Hospitalization| O| S