BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON IMPLANTABLE PULSE GENERATOR

    MDR report key: 1834095 · Received September 13, 2010

    Report

    Report Number
    1627487-2010-01644
    Event Type
    Injury
    Date Received
    September 13, 2010
    Date of Event
    January 20, 2010
    Report Date
    January 21, 2010
    Manufacturer
    ADVANCED NEUROMODULATION SYSTEMS
    Product Code
    LGW
    PMA / PMN Number
    P010032
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL: METHOD: THE DEVICE HISTORY AND STERILIZATION RECORDS WERE REVIEWED. RESULTS: THE DEVICE HISTORY AND STERILIZATION RECORDS REVIEWED WERE FOUND TO MEET SPECS AND NO ANOMALIES WERE FOUND. CONCLUSION: THE CAUSE OF THE REPORTED COMPLAINT COULD NOT BE DETERMINED FROM THE REVIEW OF THE DHR AND STERILIZATION RECORDS. THIS MDR IS BEING SUBMITTED PAST THE 30 DAY REPORTING REQUIREMENT AS PART OF A RETROSPECTIVE REVIEW INITIATED IN RESPONSE TO AN FDA INSPECTION. A RETROSPECTIVE REVIEW OF THE COMPLAINT RECORD DETERMINED THAT ANS MISINTERPRETED THE MDR REGULATIONS IN THIS INSTANCE. ANS HAS LIMITED INFO RELATED TO THE PT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PT'S HISTORY TO THE EVENT REPORTED. ANS DEFERS TO THE PT'S PHYSICIAN REGARDING MEDICAL HISTORY.

    Description of Event or Problem · 1

    THE PT RECEIVED HER SCS SYSTEM WHICH INCLUDED A SURGICAL LEAD AND AN IPG ON (B)(6) 2008. THE PT REPORTED THAT THE FIRST TIME SHE RECHARGED HER IPG, SHE WAS NOT ABLE TO WALK FOR TWO DAYS FOLLOWING THE RECHARGE. THE PT EXPERIENCED THIS SAME PHENOMENON WHEN SHE RECHARGED HER IPG APPROX 18 MONTHS LATER. DURING THIS RECHARGE SESSION, THE PT ALSO REPORTED SHE FELT RANDOM SHOCKS AT HER IPG SITE. THE PT'S CHARGING SYSTEM WAS REPLACED BY THE MFR. ADDITIONAL INFO PROVIDED BY THE PT'S PHYSICIAN, REVEALED THE IPG REMAINS IN USE. THE MFR'S DEVICE REGISTRATION SYSTEM CONFIRMS THE IPG REMAINS IN USE. NO ADDITIONAL INFO IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EON IMPLANTABLE PULSE GENERATOR TOTALLY IMPLANTABLE PULSE GENERATOR LGW ADVANCED NEUROMODULATION SYSTEMS 3716 114613

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention