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 |