FDA Adverse Event Malfunction Summary report: N

EON IMPLANTABLE PULSE GENERATOR

MDR report key: 2142114 · Received May 25, 2011

Report

Report Number
1627487-2011-02653
Event Type
Malfunction
Date Received
May 25, 2011
Date of Event
April 28, 2011
Report Date
April 28, 2011
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, 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 HER SCS SYSTEM, INCLUDING AN IPG, ON (B)(6) 2010. IT WAS REPORTED THE PT HAS EXPERIENCED AN INCREASE IN THE IPG RECHARGE BURDEN. WHEREAS SHE WOULD CHARGE ONCE PER WEEK SHORTLY AFTER IMPLANT, SHE NOW MUST RECHARGE EVERY THREE DAYS. A NEW CHARGING SYSTEM WAS SENT TO THE PT TO RULE OUT ANY EXTERNAL DEVICE ISSUES. NO PT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EON IMPLANTABLE PULSE GENERATOR TOTALLY IMPLANTABLE PULSE GENERATOR LGW ST. JUDE MEDICAL - NEUROMODULATION 3716 3145874

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention IMPLANT:| SCS LEAD: MODEL 3228