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 |