FDA Adverse Event
Injury
Summary report: N
DIRECT CLAMP ACTIVE ANCHOR KIT
MDR report key: 24019414
·
Received January 9, 2026
Report
- Report Number
- 3016111136-2026-00003
- Event Type
- Injury
- Date Received
- January 9, 2026
- Date of Event
- December 15, 2025
- Report Date
- January 9, 2026
- Manufacturer
- SALUDA MEDICAL PTY LTD
- Product Code
- LGW
- UDI-DI
- 09352307001817
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
A PATIENT IMPLANTED WITH AN EVOKE SPINAL CORD STIMULATION (SCS) SYSTEM WAS EVALUATED FOR INADEQUATE PAIN RELIEF, MUSCLE SPASMS, INFLAMMATION, NUMBNESS, AND CHANGE IN STIMULATION ASSOCIATED WITH POSTURAL CHANGES. REPROGRAMMING WAS PERFORMED WITH ADEQUATE DERMATOMAL COVERAGE ACHIEVED. AN X-RAY WAS PERFORMED WHICH IDENTIFIED A LEAD MIGRATION. THE PHYSICIAN PRESCRIBED A STEROID PACK DUE TO OTHER POTENTIAL PATHOPHYSIOLOGY. APPROXIMATELY THREE (3) WEEKS LATER, THE PATIENT HAD A MEDIAL BRANCH BLOCK (MBB) ON LEVEL C7.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 80642 | DIRECT CLAMP ACTIVE ANCHOR KIT | SCS ANCHOR | LGW | SALUDA MEDICAL PTY LTD | 104523 | 9018216303 | 09352307001817 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other |