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