FDA Adverse Event
Injury
Summary report: N
NALU NEUROSTIMULATION SYSTEM
MDR report key: 19727411
·
Received July 11, 2024
Report
- Report Number
- 3015425075-2024-00263
- Event Type
- Injury
- Date Received
- July 11, 2024
- Date of Event
- June 12, 2024
- Report Date
- July 11, 2024
- Manufacturer
- NALU MEDICAL INC
- Product Code
- GZF
- UDI-DI
- 00812537035925
- PMA / PMN Number
- K183579
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
PATIENT REPORTED RECEIVING GOOD PAIN RELIEF FROM THE NALU SYSTEM WHILE IT WAS IMPLANTED AND IN USE. INFECTION DID NOT DEVELOP UNTIL MORE THAN 6 WEEKS AFTER THE IMPLANT TOOK PLACE AND IS NOT LIKELY CAUSED DIRECTLY BY THE NALU SYSTEM. INFECTION IS A KNOWN INHERENT RISK OF INVASIVE PROCEDURES.
Description of Event or Problem · 0
PATIENT WAS IMPLANTED WITH A NALU PERIPHERAL NERVE STIMULATOR SYSTEM ON (B)(6)2024 TO TREAT SHOULDER PAIN. ON (B)(6)2024 THE FIRM WAS INFORMED THAT THE PATIENT HAD DEVELOPED AN INFECTION AT THE TUNNELING SITE AND ANTIBIOTICS HAD BEEN PRESCRIBED. ON (B)(6)2024 A FULL SYSTEM EXPLANT WAS PERFORMED DUE TO THE INFECTION FAILING TO RESPOND TO ANTIBIOTICS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 315979 | NALU NEUROSTIMULATION SYSTEM | PERIPHERAL NERVE STIMULATOR | GZF | NALU MEDICAL INC | 71020 | 00812537035925 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |