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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC NEUROMODULATION CORPORATION VERCISE GENUS?; STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR

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BOSTON SCIENTIFIC NEUROMODULATION CORPORATION VERCISE GENUS?; STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR Back to Search Results
Model Number DB-1432
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Pocket Erosion (2013); Impaired Healing (2378)
Date of Event 01/14/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Block d2b: additional pro code selection that applies to the indication of this device .
 
Event or Problem Description
It was reported that the deep brain stimulation (dbs) patient experienced impaired healing at the incision site and it was discovered by the physician that the implantable pulse generator (ipg) had eroded through the skin.Therefore, the patient underwent a revision procedure during which the ipg was explanted and replaced.The patient was stable postoperatively.The explanted ipg will not be returned as it was retained by the medical facility.
 
Additional Manufacturer Narrative
Block d2b: additional pro code selection that applies to the indication of this device .The device was not returned for analysis as it was retained by the medical facility.As such, physical analysis was unable to be performed.However, it was confirmed this device met manufacturing specification prior to distribution and there were no manufacturing deviations which could have contributed to the reported event.Review of the instructions for use (ifu) confirmed the implanted device components may wear through the skin which can lead to the need for additional surgery.Additionally, the ifu states poor healing is also a known risk with use of dbs.Based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of known inherent risk of device.
 
Event or Problem Description
It was reported that the deep brain stimulation (dbs) patient experienced impaired healing at the incision site and it was discovered by the physician that the implantable pulse generator (ipg) had eroded through the skin.Therefore, the patient underwent a revision procedure during which the ipg was explanted and replaced.The patient was stable postoperatively.The explanted ipg will not be returned as it was retained by the medical facility.
 
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Brand Name
VERCISE GENUS?
Common Device Name
STIMULATOR, ELECTRICAL, IMPLANTED, FOR PARKINSONIAN TREMOR
Manufacturer (Section D)
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
25155 rye canyon loop
valencia CA 91355
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
cashel road
clonmel
EI  
Manufacturer Contact
erik sherburne
25155 rye canyon loop
valencia, CA 91355
7632920920
MDR Report Key24274099
Report Number3006630150-2026-00730
Device Sequence Number10725887
Product Code MHY
UDI-Device Identifier08714729985037
UDI-Public(01)08714729985037(17)270715(10)240095
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
P150031
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 04/02/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Lay User/Patient
Device Model NumberDB-1432
Device Catalogue NumberDB-1432
Device Lot Number240095
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/14/2026
Supplement Date Received by Manufacturer03/10/2026
Initial Report FDA Received Date02/05/2026
Supplement Report FDA Received Date04/02/2026
Date Device Manufactured07/15/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient Age64 YR
Patient SexMale
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