BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI 16-CHANNEL RECHARGEABLE IPG

    MDR report key: 2190764 · Received July 26, 2011

    Report

    Report Number
    1627487-2011-03331
    Event Type
    Injury
    Date Received
    July 26, 2011
    Date of Event
    June 27, 2010
    Report Date
    June 27, 2011
    Manufacturer
    ST. JUDE MEDICAL - NEUROMODULATION
    Product Code
    LGW
    PMA / PMN Number
    P010032
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    SJM HAS LIMITED INFO 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 PT REC'D A SYS ON (B)(6) 2011. IT WAS REPORTED THAT THE PT IS FEELING STIMULATION, BUT SHE IS FEELING SOME DISCOMFORT AND SWELLING AT THE POCKET SITE. SHE HAD A LOW GRADE FEVER FOR A FEW DAYS. IT IS RECOMMEND FOR HER TO CALL HER DOCTOR AS SOON AS POSSIBLE. NO FURTHER INFO IS AVAILABLE AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EON MINI 16-CHANNEL RECHARGEABLE IPG TOTALLY IMPLANTABLE PULSE GENERATOR LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3301969

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Required Intervention IMPLANTED:| SCS LEAD: MODEL 3224