FDA Adverse Event
Death
Summary report: N
ENTERRA II IPG
MDR report key: 22141124
·
Received June 4, 2025
Report
- Report Number
- 3027386225-2025-00057
- Event Type
- Death
- Date Received
- June 4, 2025
- Date of Event
- August 17, 2021
- Report Date
- May 6, 2025
- 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
PATIENT DEATH - DEVICE EXPLANTED AS PART OF AUTOPSY. CAUSE OF DEATH WAS COMPLICATIONS OF POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME (NOT ENTERRA DEVICE RELATED) PRODUCT RETURNED TO MEDTRONIC FOR ANALYSIS. CHECKED IN AT MDT (B)(6) 2025 MDT RECORD ID: (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 709546 | ENTERRA II IPG | GASTRIC STIMULATOR | LNQ | ENTERRA MEDICAL, INC. | 37800 | 00763000449704 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Death |