FDA Adverse Event Injury Summary report: N

ORION RC SCS IPG

MDR report key: 18803294 · Received February 28, 2024

Report

Report Number
1627487-2024-07246
Event Type
Injury
Date Received
February 28, 2024
Date of Event
January 18, 2024
Report Date
February 28, 2024
Manufacturer
ABBOTT MEDICAL
Product Code
LGW
UDI-DI
05415067040763
PMA / PMN Number
P010032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SECTION B3: DATE OF EVENT IS ESTIMATED. A PATIENT HAD A CHARGER COMMUNICATION ISSUE WAS REPORTED TO ABBOTT. THE REP MET WITH THE PATIENT AND WAS ABLE TO GET THE IPG TO CHARGE BY HOLDING THE CHARGING AT AN ANGLE. AFTER MULTIPLE ATTEMPTS OF CHARGING WITHOUT SUCCESS, THE PATIENT MADE AN APPOINTMENT FOR A POCKET REVISION CONSULT. FLUOROSCOPY IMAGING SHOWED THEIR IPG HAD ROTATED SO THE FLAT PART OF THE IPG WAS FACING UP AND DOWN. AS A RESULT, THE PATIENT HAD A POCKET REVISION WHERE THE IPG AND POCKET WERE REPOSITIONED, AND CHARGING WAS SUCCESSFUL. THERAPY WAS RESTORED. THE RESULTS OF THE INVESTIGATION ARE INCONCLUSIVE SINCE THE DEVICE WAS NOT RETURNED FOR ANALYSIS. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED EVENT COULD NOT BE CONCLUSIVELY DETERMINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENT'S IPG WAS UNABLE TO COMMUNICATE WITH CHARGER. MULTIPLE ATTEMPTS AT TROUBLESHOOTING WERE ATTEMPTED TO NO AVAIL INCLUDING ADJUSTING THE DISTANCE BETWEEN THE CHARGING PADDLE AND THE IPG AS WELL AS REPOSITIONING THE CHARGING PADDLE. DURING TROUBLESHOOTING IT WAS NOTED THAT THE IPG WAS ABLE COMMUNICATE WITH TWO DIFFERENT CLINICIAN PROGRAMMERS (CPS) WITH NO ISSUES AND THE CHARGER ITSELF WAS WORKING FINE. X-RAYS WERE TAKEN USING FLUOROSCOPY AND SHOWED THE IPG HAD ROTATED SO THE FLAT PART OF THE IPG WAS FACING UP AND DOWN. NO ACCIDENTS, FALLS, TRAUMA, OR WEIGHT FLUCTUATIONS WERE REPORTED. SURGICAL INTERVENTION WAS UNDERTAKEN ON (B)(6) 2024 WHEREIN THE IPG AND THE IPG POCKET WERE REPOSITIONED. EFFECTIVE THERAPY WAS RESTORED AND IPG WAS SUCCESSFULLY RECHARGED POST-OP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
896703 ORION RC SCS IPG SCS IPG LGW ABBOTT MEDICAL 32400 10077965 05415067040763

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other SCS PERCUTANEOUS LEAD (2)