FDA Adverse Event Malfunction Summary report: N

EON MINI IPG, 16-CHANNEL RECHARGEABLE

MDR report key: 2113838 · Received May 17, 2011

Report

Report Number
1627487-2011-00683
Event Type
Malfunction
Date Received
May 17, 2011
Date of Event
March 29, 2011
Report Date
April 18, 2011
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

SJM HAS LIMITED INFO RELATED TO THE PT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

THE PT RECEIVED AN SCS SYSTEM INCLUDING AN IPG ON (B)(6) 2010. IT WAS REPORTED THAT THE RECHARGE TIME FOR HIS IPG HAS INCREASED SINCE THE RECEIPT OF HIS NEW CHARGING SYSTEM. IN AN EFFORT TO RESOLVE THIS MATTER, ANOTHER CHARGING SYSTEM WAS SHIPPED TO THE PT. FOLLOW-UP ON THIS ISSUE FOUND THAT THE PT THE LATEST UNIT IS RECHARGING HIS IPG AT WHAT APPEARS TO BE A MORE EFFICIENT RATE; HOWEVER, HE HAS AN APPOINTMENT WITH THE PHYSICIAN NEXT WEEK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EON MINI IPG, 16-CHANNEL RECHARGEABLE TOTALLY IMPLANTABLE PULSE GENERATOR LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3190240

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention IMPLANT:| SCS LEAD: MODEL: 3166| SCS LEAD EXTENSION: MODEL: 3341| SCS LEAD: MODEL: 3163| IMPLANT:| IMPLANT: