FDA Adverse Event Malfunction Summary report: N

EON MINI IPG, 16-CHANNEL RECHARGEABLE

MDR report key: 2113842 · Received May 17, 2011

Report

Report Number
1627487-2011-00684
Event Type
Malfunction
Date Received
May 17, 2011
Date of Event
March 15, 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 INFORMATION RELATED TO THE PATIENT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PATIENT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PATIENT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

THE PATIENT RECEIVED AN SCS SYSTEM INCLUDING AN IPG ON (B)(6) 2009. IT WAS REPORTED THAT THE RECHARGE TIME FOR HIS IPG HAS INCREASED. IN AN EFFORT TO RESOLVE THIS MATTER, A NEW CHARGING SYSTEM WAS SHIPPED TO THE PATIENT. FOLLOW-UP ON THIS ISSUE FOUND THAT THE LATEST UNIT IS RECHARGING THE PATIENT'S IPG AT WHAT APPEARS TO BE A MORE EFFICIENT RATE.

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 2799146

Patients

Seq Age Sex Outcome Treatment
1 47 YR Required Intervention IMPLANTED:| SCS LEAD, MODEL: 3219