FDA Adverse Event Malfunction Summary report: N

ENTERRA II IPG

MDR report key: 19877794 · Received July 31, 2024

Report

Report Number
3027386225-2024-00086
Event Type
Malfunction
Date Received
July 31, 2024
Date of Event
June 26, 2024
Report Date
July 16, 2024
Manufacturer
ENTERRA MEDICAL, INC.
Product Code
LNQ
PMA / PMN Number
H990014
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

ISSUE (B)(6) PATIENT CALLED BACK TO SAY HE SAW DR KURT STOCKAMP IN WHITNEY PALS AREA. THE BATTERY IS DEPLETED, AND THE PATIENT IS SCHEDULED FOR A GEN CHANGE ON 7-1. SYMPTOMS HAVE RETURNED AND HE HAS LOST ABOUT 9LBS PER MONTH FOR ABOUT THE LAST 10-12 MONTHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
983685 ENTERRA II IPG GASTRIC STIMULATOR LNQ ENTERRA MEDICAL, INC. 37800

Patients

Seq Age Sex Outcome Treatment
1 52 YR Male Other