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