FDA Adverse Event Injury Summary report: N

ECOIN PERIPHERAL NEUROSTIMULATOR

MDR report key: 24043888 · Received January 12, 2026

Report

Report Number
3010878085-2026-00001
Event Type
Injury
Date Received
January 12, 2026
Date of Event
October 20, 2025
Report Date
March 20, 2026
Manufacturer
VALENCIA TECHNOLOGIES CORPORATION
Product Code
QPT
PMA / PMN Number
P200036
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BASED ON THE INFORMATION PROVIDED, DEVICE MIGRATION AND ANY CHANGES IN THE PATIENT'S MEDICAL HISTORY PRIOR TO THE EXPLANT HAVE BEEN RULED AS POTENTIAL CAUSES. THE DEVICE HISTORY FILE FOR BOTH THE ECOIN DEVICE (503250) INCLUDING THE STERILE LOAD HISTORY REPORT (300-974) AND THE PROCEDURAL KIT LOT (301-355, R00647) AVAILABLE AT THE IMPLANTATION FACILITY WERE REVIEWED AND THERE WERE NO RELATED ISSUES FOUND. THE DEVICE ASSOCIATED WITH THE COMPLAINT WAS RETURNED FOR INVESTIGATION. THE DEVICE PASSED ALL ELECTRICAL TESTS AND NO DEVICE RELATED ISSUES WERE FOUND. THE ECOIN DEVICE IS USED TO TREAT URGENCY URINARY INCONTINENCE. ALTHOUGH THE CAUSE OF THE REPORTED ISSUE IS UNKNOWN, THERE WAS NO CONFIRMED DEVICE FAILURE.

Additional Manufacturer Narrative · 0

THE DEVICE HISTORY FILE FOR BOTH THE ECOIN DEVICE (B)(6) INCLUDING THE STERILE LOAD HISTORY REPORT (300-974) AND THE PROCEDURAL KIT LOT (301-355, R00647) AVAILABLE AT THE IMPLANTATION FACILITY WERE REVIEWED AND THERE WERE NO RELATED ISSUES FOUND. THE DEVICE ASSOCIATED WITH THE COMPLAINT WAS RETURNED FOR INVESTIGATION. HOWEVER, FAILURE ANALYSIS INVESTIGATION HAS NOT BEEN COMPLETED.

Description of Event or Problem · 0

THE PATIENT WAS IMPLANTED WITH THE ECOIN DEVICE ON (B)(6) 2025 AND THE DEVICE WAS ACTIVATED ON (B)(6) 2025 WITH AN AMPLITUDE SETTING OF 8MA. AN EXPLANT PROCEDURE WAS PERFORMED ON (B)(6) 2025 DUE TO AN INFECTION AT THE INCISION SITE. ADDITIONALLY, THE PATIENT WAS NOT GETTING ANY URINARY SYMPTOM RELIEF. ANTIBIOTICS WERE PRESCRIBED AND THE INFECTION HAS BEEN RESOLVED.

Description of Event or Problem · 0

THE PATIENT WAS IMPLANTED WITH THE ECOIN DEVICE ON (B)(6) 2025 AND THE DEVICE WAS ACTIVATED ON (B)(6) 2025 WITH AN AMPLITUDE SETTING OF 8MA. ON (B)(6) 2025, THE DEVICE WAS EXPLANTED DUE TO AN INFECTION AT THE INCISION SITE. ADDITIONALLY, THE PATIENT WAS NOT GETTING ANY URINARY SYMPTOM RELIEF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
106273 ECOIN PERIPHERAL NEUROSTIMULATOR ECOIN UUI QPT VALENCIA TECHNOLOGIES CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 81 YR Female Required Intervention