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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 06/01/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
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 underwent an explant procedure due to the implantable pulse generator (ipg) displaying an end of service (eos) message.It was noted that the device did not achieve its expected service life before reaching end of life.The ipg was subsequently explanted and replaced.Postoperatively, the patient was reported to be doing well with no complications.Per facility policy, the explanted device was retained and will not be returned for evaluation.
 
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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
ricardo amaro castro
25155 rye canyon loop
valencia, CA 91355
+1(320)800-7570
MDR Report Key25899323
Report Number3006630150-2026-05211
Device Sequence Number8680581
Product Code MHY
UDI-Device Identifier08714729985020
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
P150031
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2026
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/24/2026
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 Expiration Date08/31/2024
Device Model NumberDB-1416
Device Catalogue NumberDB-1416
Device Lot Number212679
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/30/2026
Supplement Date Received by Manufacturer08/28/2026
Initial Report FDA Received Date07/21/2026
Supplement Report FDA Received Date09/24/2026
Date Device Manufactured09/01/2022
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 Age27 YR
Patient SexMale
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