FDA Adverse Event
Malfunction
Summary report: N
ENTERRA II IPG
MDR report key: 19801426
·
Received July 22, 2024
Report
- Report Number
- 3027386225-2024-00087
- Event Type
- Malfunction
- Date Received
- July 22, 2024
- Date of Event
- June 18, 2024
- Report Date
- July 17, 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
DEAD BATTERY. DATE OF IMPLANT (B)(6) 2020. GEN CHANGE WAS TODAY. DR (B)(6) SAID THE FAMILY WAS HAPPY WITH THERAPY. SETTINGS ARE HIGH AND RECOMMENDED LOWERING. DR (B)(6) WANTED THE SAME SETTINGS. THE GENERATOR WILL BE RETURNED FOR EVALUATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1004894 | ENTERRA II IPG | GASTRIC STIMULATOR | LNQ | ENTERRA MEDICAL, INC. | 37800 | 00763000449704 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 14 YR | Male | Other |