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Deep brain stimulation clinician and patient programmer applications

Official notice

5 Jun 2024

CriticalHealth Canada

An official Health Canada notice concerns Deep brain stimulation clinician and patient programmer applications. Manufacturer notification to inform customers of an issue related to the Magnetic Resonance Imaging (MRI) eligibility status displayed in certain versions of the Deep Brain Stimulation (DBS) clinician programmer and DBS patient programmer applications. Patients implanted with a pocket adaptor are limited to "head only" MRI eligibility. With this issue, the clinician and patient programmers may incorrectly display MRI eligibility as "full body" scan eligible. This issue has the potential to result in exposure of the patient to an incorrect MRI (e.g., "full body" instead of "head only" scan eligibility), which could result in heating at the lead electrode(s) and potential tissue damage. Excessive heating can result in serious or permanent injury including coma, paralysis, and death. There has been one (1) reported event of this issue, which was identified during initial programming. As of April 2024, there have been no reported patient harms for this issue. Recall Start Date: May 15, 2024 Published 2024-06-05.

What to do now

Contact the manufacturer if you require additional information.

Recall number

75626

Official notice

2024-06-05

The hazard

Manufacturer notification to inform customers of an issue related to the Magnetic Resonance Imaging (MRI) eligibility status displayed in certain versions of the Deep Brain Stimulation (DBS) clinician programmer and DBS patient programmer applications. Patients implanted with a pocket adaptor are limited to "head only" MRI eligibility. With this issue, the clinician and patient programmers may incorrectly display MRI eligibility as "full body" scan eligible. This issue has the potential to result in exposure of the patient to an incorrect MRI (e.g., "full body" instead of "head only" scan eligibility), which could result in heating at the lead electrode(s) and potential tissue damage. Excessive heating can result in serious or permanent injury including coma, paralysis, and death. There has been one (1) reported event of this issue, which was identified during initial programming. As of April 2024, there have been no reported patient harms for this issue. Recall Start Date: May 15, 2024

How to check if you're affected

Compare the product name and identifiers below with the item you own. Follow the official notice if they match.

Recall Numbers

75626

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Affected products

Product 1

Affected products - Pocket Adaptor Kit For Deep Brain Stimulation, Lot or serial number - More than 10 numbers, contact manufacturer., Model or catalog number - 64001 64002

Product 2

Affected products - Activa SC - Neurostimulator, Lot or serial number - More than 10 numbers, contact manufacturer., Model or catalog number - 37603 37602

Product 3

Affected products - Patient Programming Application For Deep Brain Stimulation, Lot or serial number - More than 10 numbers, contact manufacturer., Model or catalog number - A620

Risk / hazard

Manufacturer notification to inform customers of an issue related to the Magnetic Resonance Imaging (MRI) eligibility status displayed in certain versions of the Deep Brain Stimulation (DBS) clinician programmer and DBS patient programmer applications. Patients implanted with a pocket adaptor are limited to "head only" MRI eligibility. With this issue, the clinician and patient programmers may incorrectly display MRI eligibility as "full body" scan eligible. This issue has the potential to result in exposure of the patient to an incorrect MRI (e.g., "full body" instead of "head only" scan eligibility), which could result in heating at the lead electrode(s) and potential tissue damage. Excessive heating can result in serious or permanent injury including coma, paralysis, and death. There has been one (1) reported event of this issue, which was identified during initial programming. As of April 2024, there have been no reported patient harms for this issue. Recall Start Date: May 15, 2024

Where it was sold

The source does not list specific retailers. See the official notice for where affected products were sold.

Location 1

CA · Canada

Affected area 1

CA · Canada

Company & contacts

Brand: Medtronic, Deep Brain Stimulation Clinician And Patient Programmer Applications.

Source & status

Source

Health Canada

Tier

official

Category

HEALTH

Classification

Type II

App estimate

critical

Recall details

Recall number

75626

Classification

Type II

Source tier

official

Documents, notices & source

See the official notice and source documents for full details.

View full official notice
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