LEAD NEURO LEADN NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2006-09-28 for LEAD NEURO LEADN NA manufactured by Medtronic, Inc., Neurological Division.

Event Text Entries

[17442952] Mfr rep reports the pt had an infection after one year implant duration at the site of the burr hole and has subsequently not received any benefit from the stimulation. The pt was showing no symptom control. The electrode impedance were checked and found greater than 4,000 ohms and current was less than 15 ua. The mfr was contacted and pt x-rays were recommended due to an apparent open circuit. At the time of this report, there was no indication of device removal and the surgeon involved was going to clean-up the site of infection.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2182207-2006-01628
MDR Report Key766543
Report Source07
Date Received2006-09-28
Date of Report2006-08-28
Date Mfgr Received2006-08-28
Date Added to Maude2006-10-04
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 ContactNIKOLE RAHN
Manufacturer Street710 MEDTRONIC PARKWAY LN145
Manufacturer CityMINNEAPOLIS MN 554325604
Manufacturer CountryUS
Manufacturer Postal554325604
Manufacturer Phone7635051077
Manufacturer G1MEDTRONIC, INC.
Manufacturer Street800 53RD AVENUE NE
Manufacturer CityMINNEAPOLIS MN 55421
Manufacturer CountryUS
Manufacturer Postal Code55421
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLEAD NEURO
Generic NamePDX
Product CodeGYZ
Date Received2006-09-28
Model NumberLEADN
Catalog NumberNA
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age1 YR
Device Eval'ed by MfgrR
Implant FlagY
Date RemovedU
Device Sequence No1
Device Event Key754429
ManufacturerMEDTRONIC, INC., NEUROLOGICAL DIVISION
Manufacturer Address800 53RD AVE., N.E. MINNEAPOLIS MN 55421 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2006-09-28

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