FDA Adverse Event Injury Summary report: N

ENTERRA II IPG

MDR report key: 20039298 · Received August 22, 2024

Report

Report Number
3027386225-2024-00091
Event Type
Injury
Date Received
August 22, 2024
Date of Event
July 11, 2024
Report Date
July 18, 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

PATIENT WEIGHTS ONLY 100 LBS, BATTERY WAS CAUSING PAIN DUE TO ITS SIZE ON HER SMALL FRAME. IT WORKED FOR HER FOR A WHILE, BUT THE PAIN WAS TOO MUCH FOR HER TO DEAL WITH. TODAY THEY ARE REMOVING IT AND DOING A PYROLOPLASTY. HOSPITAL DISPOSED OF DEVICES; NOT AVAILABLE FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
26000 ENTERRA II IPG GASTRIC STIMULATOR LNQ ENTERRA MEDICAL, INC. 37800 00763000449704

Patients

Seq Age Sex Outcome Treatment
1 41 YR Female Other