FDA Adverse Event Injury Summary report: N

MEDTRONIC

MDR report key: 980807 · Received January 16, 2008

Report

Report Number
2182207-2008-00281
Event Type
Injury
Date Received
January 16, 2008
Report Date
October 17, 2007
Manufacturer
MEDTRONIC NEUROMODULATION
Product Code
MHY
PMA / PMN Number
P960009
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NOTE: REPORT ASSUMES REVISION HAS BEEN COMPLETED.

Description of Event or Problem · 1

JOURNAL REFERENCE: GREEN, ET AL. "DEEP BRAIN SIMULATION FOR NEUROPATHIC CEPHALALGIA." CEPHALALGIA, 2006, 26:561-567. THE ARTICLE DESCRIBES A PROSPECTIVE STUDY OF SEVEN PATIENTS WITH A VARIETY OF CEPHALALGIA IN WHOM DBS WAS USED. ALL PATIENTS HAD BEEN TREATED WITH A VARIETY OF MEDICATIONS WITHOUT SUCCESS. REPORTABLE EVENT: A PATIENT BEING TREATED FOR SEVERE, CONSTANT, STABBING PAIN AFFECTING THE PERIORBITAL AREA ON THE LEFT AND EXTENDING TO THE VERTEX, POST MULTIPLE MAXILLARY SINUS SURGERY FOR RECURRING INFECTION, EXPERIENCED PAIN ASSOCIATED WITH THE EXTENSION LEAD AND IS AWAITING REVISION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MEDTRONIC MHY MEDTRONIC NEUROMODULATION UNK NA

Patients

Seq Age Sex Outcome Treatment
1 41 YR Hospitalization| R IPG (N=2)| LEAD MODEL 3387 (N=2)| LEAD EXTENSIONS (N=1)