inforMED
InjuryOBP

NEUROSTAR ADVANCED THERAPY

Received May 18, 2023 · Event occurred Apr 20, 2023

Report 3004824012-2023-00012 · MDR key 16954645

Device

Generic name

Transcranial Magnetic Stimulator

Manufacturer

Neuronetics, Inc.

Catalog number

81-02315-000

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

55 YR · Female

  • Convulsion/Seizure
  • Convulsion/Seizure

Narrative

Description of Event or Problem

NEURONETICS RECEIVED A CALL FROM A TMS PROVIDER INDICATING THAT A PATIENT FELT NAUSEOUS AND HAD THREE (3) FOCAL SEIZURES THE EVENING AFTER HER 33RD TMS TREATMENT. THE PATIENT WENT TO THE EMERGENCY ROOM THE FOLLOWING MORNING AN HAD A GRAND MAL SEIZURE. THE PATIENT WAS NOT HOSPITALIZED BUT WAS PRESCRIBED KEPPRA. SHE WAS ADVISED TO SEE A NEUROLOGIST FOR FOLLOW UP.

Additional Manufacturer Narrative

KNOWN RISK FACTORS FOR PATIENT INCLUDE FAMILY HISTORY OF EPILEPSY (DAUGHTER DIAGNOSED WITH EPILEPSY), HISTORY OF TAKING SEIZURE THRESHOLD LOWERING MEDICATIONS (ABILIFY AND PROZAC), AND A FEBRILE ILLNESS AT TIME OF TREATMENT AND SUBSEQUENT SEIZURES. ADDITIONAL RISK FACTORS FOR SEIZURES SUCH AS DEHYDRATION, LACK OF SLEEP, ALCOHOL, CAFFEINE, OR ILLICIT DRUG USE, WERE NOT ABLE TO BE OBTAINED. WHILE A DEFINITIVE CAUSE CANNOT BE ESTABLISHED, THE PATIENT'S KNOWN RISK FACTORS LIKELY PREDISPOSED HER TO THE SEIZURE EVENT.