BOSTON SCIENTIFIC NEUROMODULATION VERCISE GENUS; STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN SYMPTOMS
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Model Number DB-1216 |
Device Problems
Unexpected Therapeutic Results (1631); Charging Problem (2892)
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Patient Problems
Cardiac Arrest (1762); Hypoxia (1918); Ventricular Fibrillation (2130)
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Event Date 08/29/2023 |
Event Type
Injury
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Event Description
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It was reported that the deep brain stimulation (dbs) patient was swimming in the sea and a few minutes later, had to undergo resuscitation and defibrillation for more than thirty minutes after experiencing a sudden cardiac death.The patient also experienced a phase of hypoxia and ventricular fibrillation and was later hospitalized.While at the hospital, the patient experienced charging difficulties with the battery depleting faster than expected.Since the patient was intubated, it was unclear if the stimulation was on.The physician assessed that it was unclear if the stimulation issue was caused by the defibrillation.The patient was discharged from the hospital.However, a few weeks later, the patient underwent a revision procedure to explant and replace the implantable pulse generator (ipg) due to inadequate stimulation and charging difficulties.
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Event Description
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It was reported that the deep brain stimulation (dbs) patient was swimming in the sea and a few minutes later, had to undergo resuscitation and defibrillation for more than thirty minutes after experiencing a sudden cardiac death.The patient also experienced a phase of hypoxia and ventricular fibrillation and was later hospitalized.While at the hospital, the patient experienced charging difficulties with the battery depleting faster than expected.Since the patient was intubated, it was unclear if the stimulation was on.The physician assessed that it was unclear if the stimulation issue was caused by the defibrillation.The patient was discharged from the hospital.However, a few weeks later, the patient underwent a revision procedure to explant and replace the implantable pulse generator (ipg) due to inadequate stimulation and charging difficulties.
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Manufacturer Narrative
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With the available information, boston scientific concludes that the reported event of the patient experiencing charging difficulties and inadequate stimulation was confirmed through device analysis.The returned ipg had an excessive sleep current and damaged application specific integrated circuit (asic) chip, which was likely a result of the defibrillation to which the patient was exposed.Therefore, the excessive current draw from the damaged asic likely resulted in the reported event of the ipg charging difficulties and inadequate stimulation.The returned ipg revealed normal characteristics during the visual examination.However, the system log revealed a fast depletion rate with the stimulation off, which is above the expected range.This behavior was observed after timestamp (b)(6) and the functional test revealed that the quiescent current test and the mri capacitor test were out of the expected range.The internal electrical measurements confirmed an excessive sleep current and that the asic chip was damaged.
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