FDA Adverse Event
Injury
Summary report: N
ENTERRA II IPG
MDR report key: 19730966
·
Received July 12, 2024
Report
- Report Number
- 3027386225-2024-00075
- Event Type
- Injury
- Date Received
- July 12, 2024
- Date of Event
- June 3, 2024
- Report Date
- June 24, 2024
- Manufacturer
- ENTERRA MEDICAL, INC.
- Product Code
- LNQ
- UDI-DI
- 00763000449704
- PMA / PMN Number
- H990014
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
A PATIENT'S DEVICE WAS EXPLANTED BY DR (B)(6) AT (B)(6) BECAUSE AN INFECTION OF THE POCKET SITE FOLLOWING THEIR MOST RECENT BATTERY CHANGE. THE PHYSICIAN IS CURRENTLY TREATING AND MONITORING THE INFECTION, NO DEFINITE PLANS TO RE-IMPLANT A NEW ENTERRA SYSTEM UNTIL THE INFECTION IS FULLY RESOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2301092 | ENTERRA II IPG | GASTRIC STIMULATOR | LNQ | ENTERRA MEDICAL, INC. | 37800 | 00763000449704 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 52 YR | Unknown | Other |