FDA Adverse Event
Injury
Summary report: Y
INSPIRE MODEL 3028 IPG
MDR report key: 11757772
·
Received April 30, 2021
Report
- Report Number
- 3007666314-2021-00048
- Event Type
- Injury
- Date Received
- April 30, 2021
- Date of Event
- April 8, 2021
- Report Date
- April 30, 2021
- Manufacturer
- INSPIRE MEDICAL SYSTEMS
- Product Code
- MNQ
- UDI-DI
- 10855728005656
- PMA / PMN Number
- P130008
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PATIENT PRESENTED TO THE PHYSICIAN WITH AN IPG INCISION INFECTION ON (B)(6) 2021. THE PHYSICIAN PRESCRIBED ANTIBIOTICS TO ADDRESS THE INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 647815 | INSPIRE MODEL 3028 IPG | INSPIRE MODEL 3028 IPG | MNQ | INSPIRE MEDICAL SYSTEMS | 3028 | 10855728005656 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other| R |