DBS 3389 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2001-12-07 for DBS 3389 NA manufactured by Medtronic Inc...

Event Text Entries

[236624] Hcp reported pt had urinary retention since insertion of deep brain stimulation pulse generator in 2001. Pt had foley catheter replaced and was treated with bactrim and flomax. After numerous unsuccessful attempts at voiding trials, pt had transurethral resection of the prostate the next month. Pt had no complications post-surgery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2182207-2001-00595
MDR Report Key365542
Report Source05
Date Received2001-12-07
Date of Report2001-07-13
Date Mfgr Received2001-07-13
Date Added to Maude2001-12-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactVICKI SCHREIBER
Manufacturer Street800 53RD AVE. NE
Manufacturer CityMINNEAPOLIS MN 55421
Manufacturer CountryUS
Manufacturer Postal55421
Manufacturer Phone7635147316
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDBS
Generic NameLEAD
Product CodeGYZ
Date Received2001-12-07
Model Number3389
Catalog NumberNA
Lot NumberN24841A
ID NumberNA
Device Expiration Date2004-12-04
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeUNKNOWN
Device Eval'ed by MfgrR
Implant FlagY
Date RemovedU
Device Sequence No1
Device Event Key354663
ManufacturerMEDTRONIC INC..
Manufacturer Address800 53RD AVE., N.E. MINNEAPOLIS MN 55421 US
Baseline Brand NameDBS
Baseline Generic NameIMPLANTABLE LEAD FOR BRAIN STIMULATION
Baseline Model No3389
Baseline Catalog NoNA
Baseline ID*


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2001-12-07

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