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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-1416
Medical Device Problem Code Battery Problem (2885)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/25/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Block d.2b; additional applicable product codes: nhl, pjs.
 
Event or Problem Description
It was reported that the deep brain stimulation (dbs) implantable pulse generator (ipg) reached elective replacement indicator (eri) status and underwent ipg replacement.The physician indicated that the patient's stimulation settings were sufficiently power-intensive and may have contributed to earlier eri notification.Therefore, the ipg replacement was not considered to be related to a device malfunction or defect.The physician also expressed concern that, once the ipg reaches a certain remaining battery voltage, the remaining battery capacity may decline rapidly.Postoperatively, the patient's status was not reported.Information regarding return of the explanted device for analysis was not provided.
 
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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 Key25789643
Report Number3006630150-2026-04864
Device Sequence Number6038274
Product Code MHY
UDI-Device Identifier08714729985020
UDI-Public(01)08714729985020(17)270113(10)234209
Combination Product (Y/N)N
Initial Reporter CountryJA
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
Report Date (Section B) 07/10/2026
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? Yes
Operator of Device Lay User/Patient
Device Model NumberDB-1416
Device Catalogue NumberDB-1416
Device Lot Number234209
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 06/18/2026
Initial Report FDA Received Date07/11/2026
Date Device Manufactured01/13/2025
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 Age71 YR
Patient SexFemale
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