FDA Adverse Event Injury Summary report: N

ENTERRA II IPG

MDR report key: 20134997 · Received September 4, 2024

Report

Report Number
3027386225-2024-00100
Event Type
Injury
Date Received
September 4, 2024
Date of Event
August 5, 2024
Report Date
August 13, 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

DR (B)(6) CALLED DURING A SURGERY. A PATIENT THAT WAS IMPLANTED A FEW MONTHS AGO BECAUSE OF HER ANATOMY, HE DID A POCKET REVISION. THE DEVICE GAVE HIM THE POWER SURGE DEACTIVATION WARNING (MY WORDING IS PROBABLY WRONG). HE USED ELECTROCAUTERY BY THE DEVICE. HE TURNED THE DEVICE BACK ON WITH NO FURTHER PROBLEMS. THE SAFETY FEATURE DEACTIVATED THE DEVICE DURING A SURGERY. PATIENT UNDERWENT A REVISION SURGERY TO ADJUST PLACEMENT OF THE IPG BASED ON SURGEON'S DISCRETION. DEVICE TURNED OFF AS DESIGNED DUE TO POWER SURGE. DEVICE WAS TURNED BACK ON AND PATIENT IS DOING WELL. NO FURTHER ACTION TO BE TAKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
875166 ENTERRA II IPG GASTRIC STIMULATOR LNQ ENTERRA MEDICAL, INC. 37800 00763000449704

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other