LDBS 3389 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,02,03,05 report with the FDA on 2007-11-06 for LDBS 3389 NA manufactured by Medtronic Neuromodulation.

Event Text Entries

[732458] Journal reference: derost, et al. "is dbs-stn appropriate to treat severe parkinson disease in an elderly population? " neurology 2007; 68; 17; p 1345-1355. The article describes the results of a retrospective a study comparing the effects, safety and quality of life in parkinsons patients younger than 65 and those 65 and older being treated with bilateral deep brain stimulation of the stn. Patients were followed for up to 2 years after surgery. A number of pt complications were reported. Reportable event(s): one patient attempted suicide. Treatment and outcome info was not provided.
Patient Sequence No: 1, Text Type: D, B5


[7881065] Due to the limitations of the data, the reportable events are being submitted by complication type. The exact relationship between each pt, the devices used and the complications experienced was not provided. It is possible that each pt may have experienced more than one complication.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2182207-2007-03726
MDR Report Key939845
Report Source01,02,03,05
Date Received2007-11-06
Date of Report2007-10-14
Date Mfgr Received2007-10-14
Date Added to Maude2007-11-15
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 FDA0
Event Location3
Manufacturer ContactCHARLOTTE GASPERLIN
Manufacturer Street800 53RD AVE., N.E.
Manufacturer CityMINNEAPOLIS MN 554325604
Manufacturer CountryUS
Manufacturer Postal554325604
Manufacturer Phone7655050823
Manufacturer G1MEDTRONIC NEUROMODULATION
Manufacturer Street800 53RD AVE., N.E.
Manufacturer CityMINNEAPOLIS MN 55421
Manufacturer CountryUS
Manufacturer Postal Code55421
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLDBS
Product CodeGYZ
Date Received2007-11-06
Model Number3389
Catalog NumberNA
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeNA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key918961
ManufacturerMEDTRONIC NEUROMODULATION
Manufacturer Address800 53RD AVE., N.E. MINNEAPOLIS MN 55421 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2007-11-06

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