FDA Adverse Event
Injury
Summary report: N
ENTERRA II IPG
MDR report key: 20056054
·
Received August 23, 2024
Report
- Report Number
- 3027386225-2024-00095
- Event Type
- Injury
- Date Received
- August 23, 2024
- Date of Event
- July 22, 2024
- Report Date
- July 24, 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 IS GETTING A SYSTEM EXPLANT BY DR OLSOFKA AFTER A POCKET SITE INFECTION FOLLOWING HER IMPLANT ON (B)(6) 2024. OTHER THAN THE INFECTION, THE PATIENT HAS REPORTED POSITIVE IMPROVEMENT OF THEIR GP SYMPTOMS SINCE RECEIVING THE THERAPY. WILL BE SEEKING RE IMPLANTATION OF A NEW ENTERRA SYSTEM IN THE NEAR FUTURE WHEN THEY AND DR OLSOFKA DEEM THEY ARE AGAIN READY FOR SURGERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 231490 | ENTERRA II IPG | GASTRIC STIMULATOR | LNQ | ENTERRA MEDICAL, INC. | 37800 | 00763000449704 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 36 YR | Female | Other |