FDA Adverse Event
Injury
Summary report: N
ENTERRA II IPG
MDR report key: 20097459
·
Received August 29, 2024
Report
- Report Number
- 3027386225-2024-00097
- Event Type
- Injury
- Date Received
- August 29, 2024
- Date of Event
- July 15, 2024
- Report Date
- July 30, 2024
- Manufacturer
- ENTERRA MEDICAL, INC.
- Product Code
- LNQ
- PMA / PMN Number
- H990014
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
DEBRIDEMENT OF THE POCKET WOUND DUE TO THE DEVICE PROTRUDING FROM IT. IPG WAS NOT REMOVED, AND THERAPY WAS CONTINUED POST-OP. DR. (B)(6) REPORTED THAT THE PATIENT CONTACTED HIM, STATING THAT THE DEVICE WAS "COMING OUT" OF THE POCKET. HE WAS SEEN, AND THE OFFICE AND MD DEEMED THAT THE POCKET DID NOT LOOK INFECTED; THERE WAS NO DRAINAGE. THE PATIENT WAS SCHEDULED FOR A SURGICAL DEBRIDEMENT. PATIENT HAD POCKET AREA CLEANED OUT/DEBRIDED AND IS DOING WELL. NO FURTHER ACTION TO BE TAKEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1314847 | ENTERRA II IPG | GASTRIC STIMULATOR | LNQ | ENTERRA MEDICAL, INC. | 37800 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 55 YR | Male | Other |