FDA Adverse Event Injury Summary report: N

EVOKE CLOSED LOOP STIMULATOR (CLS) (US)

MDR report key: 23279301 · Received October 15, 2025

Report

Report Number
3021836309-2025-00306
Event Type
Injury
Date Received
October 15, 2025
Date of Event
September 29, 2025
Report Date
November 26, 2025
Manufacturer
SALUDA MEDICAL PTY LTD
Product Code
LGW
UDI-DI
09352307001572
PMA / PMN Number
P190002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION OF THIS EVENT IS IN PROGRESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. LEAD INFORMATION: BRAND NAME: EVOKE CAP12 PERCUTANEOUS LEAD KIT - 60CM. MODEL: 102878. CATALOG: 3042. LOT NUMBER: 9017794137. UDI: (B)(4). EXPIRATION DATE: 02 AUGUST 2026. MANUFACTURE DATE: 08 AUGUST 2024.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: SECTION G - DATE RECEIVED BY MANUFACTURER; TYPE OF REPORT, SECTION H - DEVICE MANUFACTURE DATE; EVALUATION CODES. THE EVOKE SCS SYSTEM WAS DISCARDED. THE ROOT CAUSE OF THE INFECTION CANNOT BE DEFINITIVELY DETERMINED. THE EVOKE SCS SYSTEM SURGICAL GUIDE STATES, ¿THE RISKS ASSOCIATED WITH THE IMPLANTATION AND USE OF A SPINAL CORD STIMULATION SYSTEM INCLUDE INFECTION THAT MAY REQUIRE HOSPITALIZATION WITH INTRAVENOUS ANTIBIOTIC THERAPY AND THE PATIENT MAY REQUIRE SURGERY (INCLUDING REVISION, EXPLANT, AND REPLACEMENT) AS A RESULT.¿ THE MANUFACTURING RECORDS WERE REVIEWED AND THE PRODUCTS MET ALL THE REQUIREMENTS FOR RELEASE.

Description of Event or Problem · 0

A PATIENT IMPLANTED WITH AN EVOKE SPINAL CORD STIMULATION (SCS) SYSTEM WAS EVALUATED FOR AN INFECTION AT THE EVOKE CLOSED LOOP STIMULATOR (CLS) IMPLANT SITE AND EVOKE 12C PERCUTANEOUS LEAD IMPLANT SITE. ANTIBIOTICS WERE ADMINISTERED AND THE EVOKE SCS SYSTEM WAS EXPLANTED TO RESOLVE THE REPORTED EVENT. THE EVOKE SCS SYSTEM WAS CONFIRMED TO BE FUNCTIONING AS INTENDED PRIOR TO THE EXPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2647517 EVOKE CLOSED LOOP STIMULATOR (CLS) (US) SCS IPG LGW SALUDA MEDICAL PTY LTD 102901 09352307001572

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other