FDA Adverse Event Injury Summary report: N

EVOKE CAP12 PERCUTANEOUS LEAD KIT - 90CM (US)

MDR report key: 24068180 · Received January 14, 2026

Report

Report Number
3016111136-2026-00007
Event Type
Injury
Date Received
January 14, 2026
Date of Event
December 18, 2025
Report Date
January 14, 2026
Manufacturer
SALUDA MEDICAL PTY LTD
Product Code
LGW
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GENERATOR INFORMATION LISTED BELOW: PRODUCT DESCRIPTION: EVOKE CLOSED LOOP STIMULATOR (CLS). MODEL # : 102901. CATALOG#: 3042. SERIAL/LOT #: (B)(6).

Description of Event or Problem · 0

A PATIENT IMPLANTED WITH AN EVOKE SPINAL CORD STIMULATION (SCS) SYSTEM WAS EVALUATED FOR INADEQUATE PAIN RELIEF. AN X-RAY REVEALED A LEAD MIGRATION. ADDITIONALLY, THE PATIENT REPORTED PROLONGED CHARGING TIMES AND HEAT SENSATION AT THE EVOKE CLOSED LOOP (CLS) IMPLANT SITE SINCE IMPLANTATION. A FULL SYSTEM REVISION WAS PERFORMED TO RESOLVE THE REPORTED EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
127713 EVOKE CAP12 PERCUTANEOUS LEAD KIT - 90CM (US) SCS LEAD LGW SALUDA MEDICAL PTY LTD 102879 9017513156

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other