FDA Adverse Event
Injury
Summary report: N
IB-STIM
MDR report key: 22329095
·
Received June 24, 2025
Report
- Report Number
- MW5171884
- Event Type
- Injury
- Date Received
- June 24, 2025
- Date of Event
- June 10, 2025
- Report Date
- June 13, 2025
- Manufacturer
- NEURAXIS INC
- Product Code
- QHH
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
- Health Professional
- *
Narratives
Description of Event or Problem · 0
MY SON HAD AN IRRITABLE BOWEL SYNDROME- STIMULATOR DEVICE PLACED ON (B)(6) 2025. SINCE THAT TIME, HE HAS HAD SERIOUS SLEEP DISTURBANCES. THE IB-STIM IS APPARENTLY DISRUPTING HIS CIRCADIAN RHYTHMS AND HE HAS HAD VERY LITTLE SLEEP IN THREE DAYS. THIS SIDE EFFECT WAS NOT DISCLOSED IN THE INFORMED CONSENT THAT WE SIGNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1873391 | IB-STIM | NON-IMPLANTED NERVE STIMULATOR FOR PAIN ASSOCIATED WITH IRRITABLE BOWEL SYNDROME | QHH | NEURAXIS INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 14 YR | Male | Other | HOLOZYME. |