UNKNOWN IMPLANTABLE NEUROSTIMULATOR NEU_INS_STIMULATOR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2017-03-06 for UNKNOWN IMPLANTABLE NEUROSTIMULATOR NEU_INS_STIMULATOR manufactured by Medtronic Neuromodulation.

Event Text Entries

[69166019]
Patient Sequence No: 1, Text Type: N, H10


[69166020] Information was received from a consumer regarding a patient implanted with a neurostimulator (ins) for obsessive compulsive disorder. It was reported that since implant the patient has experienced little jolts here and there. It was also reported that it has taken a long time recharge the device since implant. It was stated the patient was not feeling stimulation and usually does not feel it. It was reported that the patient has never really felt stimulation since implant. No further complications were reported.
Patient Sequence No: 1, Text Type: D, B5


[73369395]
Patient Sequence No: 1, Text Type: N, H10


[73369396] Additional information was received. It was reported that the patient's healthcare professional (hcp) hadn't seen the patient since implant. It was noted that the hcp would have a manufacturer representative (rep) contact the patient.
Patient Sequence No: 1, Text Type: D, B5


[74509550]
Patient Sequence No: 1, Text Type: N, H10


[74509551] Follow up information received from the patient reported that periodic jolting still occurs, which they assume is from the implant. It was also noted that it still takes longer to charge but that is because settings are high. No further complications are anticipated.
Patient Sequence No: 1, Text Type: D, B5


[101371959] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3007566237-2017-00864
MDR Report Key6380459
Report SourceCONSUMER
Date Received2017-03-06
Date of Report2017-04-25
Date of Event2010-02-12
Date Mfgr Received2017-04-21
Date Added to Maude2017-03-06
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 ContactLISA WOODWARD CLARK
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635263920
Manufacturer G1MEDTRONIC NEUROMODULATION
Manufacturer Street800 53RD AVE NE
Manufacturer CityMINNEAPOLIS MN 554211200
Manufacturer CountryUS
Manufacturer Postal Code554211200
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN IMPLANTABLE NEUROSTIMULATOR
Product CodeMFR
Date Received2017-03-06
Model NumberNEU_INS_STIMULATOR
Catalog NumberNEU_INS_STIMULATOR
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
10 2017-03-06

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