FDA Adverse Event
Injury
Summary report: N
NALU NEUROSTIMULATION SYSTEM
MDR report key: 19822215
·
Received July 24, 2024
Report
- Report Number
- 3015425075-2024-00276
- Event Type
- Injury
- Date Received
- July 24, 2024
- Date of Event
- June 24, 2024
- Report Date
- July 24, 2024
- Manufacturer
- NALU MEDICAL INC
- Product Code
- GZF
- UDI-DI
- 00812537036182
- PMA / PMN Number
- K183579
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
IMAGING WAS DONE PRIOR TO EXPLANTING THE DEVICE AND DID NOT SHOW ANY CONCLUSIVE REASON FOR LOSS OF THERAPY. NO MIGRATION OF THE IMPLANTED COMPONENTS WAS NOTED.
Description of Event or Problem · 0
PATIENT WAS IMPLANTED WITH A NALU PERIPHERAL NERVE STIMULATOR SYSTEM ON (B)(6) 2023 TO TREAT KNEE PAIN. PATIENT PARTICIPATED IN THE TRIAL PHASE WITH NALU PRIOR TO IMPLANTING A PERMANENT SYSTEM. THE PERMANENT SYSTEM WAS PLACED ON THE MEDIAL THIGH AREA WITH THE IMPLANTED LEADS TARGETING THE SUPERIOR GENICULAR NERVE. AFTER IMPLANT, THE PATIENT WAS ACTIVATED AND REPORTED RECEIVING THERAPY. PATIENT LATER REPORTED LOSS OF THERAPY AND NOTED DISCOMFORT AT THE DEVICE LOCATION EVEN WHEN THE STIMULATION WAS OFF. A FULL SYSTEM EXPLANT WAS PERFORMED ON (B)(6) 2024.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2482207 | NALU NEUROSTIMULATION SYSTEM | PERIPHERAL NERVE STIMULATOR | GZF | NALU MEDICAL INC | 71020 | 00812537036182 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |