ASCENDA 8780

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-04 for ASCENDA 8780 manufactured by Medtronic Neuromodulation.

Event Text Entries

[37520884] Concomitant medical products: product id 8637-40, serial# (b)(4), implanted: (b)(6) 2013, product type: pump. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[37520945] Information received from a consumer patient with an implanted pump. Indication for use was noted as non-malignant pain. The pump was delivering saline. It was reported that the pump system was removed a few days after surgery due to spinal meningitis. Patient got spinal meningitis a few days after surgery, then had to have it taken out immediately as it was contaminated. The patient does not have any device and never got any medication through it just saline. The patient was excited about getting it but was told it would only be a last resort procedure. There were no troubleshooting or interventions reported. In addition, the patient outcome was unknown. Additional information has been requested, but was not available as of the date of this report.
Patient Sequence No: 1, Text Type: D, B5


[37531845] (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007566237-2016-00584
MDR Report Key5411736
Date Received2016-02-04
Date of Report2016-01-09
Date of Event2013-03-31
Date Mfgr Received2016-02-04
Device Manufacturer Date2013-02-19
Date Added to Maude2016-02-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDIANE WOLF
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635263987
Manufacturer G1MEDTRONIC NEUROMODULATION
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal Code55432
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameASCENDA
Generic NameLEGGING, COMPRESSION, NON-INFLATABLE
Product CodeLLK
Date Received2016-02-04
Model Number8780
Catalog Number8780
Device Expiration Date2015-02-19
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NEUROMODULATION
Manufacturer Address800 53RD AVE NE MINNEAPOLIS MN 554211200 US 554211200


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-02-04

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