REMEDE SYSTEM
Report
- Report Number
- 3009144177-2026-00007
- Event Type
- Injury
- Date Received
- January 15, 2026
- Date of Event
- November 21, 2024
- Report Date
- January 15, 2026
- Manufacturer
- REMEDE SYSTEM
- Product Code
- PSR
- UDI-DI
- 00857688007391
- PMA / PMN Number
- P160039
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- 003
Narratives
THIS 3500A FORM IS AN IDENTICAL COPY OF FAILED 3500A FORM SUBMISSION, REPORT NUMBER: 3009144-2024-00011 ORIGINALLY SUBMITTED ON 17DEC2024. THE ORIGINAL 3500A FORM FAILED AT ACK3 DUE TO THE FOLLOWING ERROR: ONLY ONE PMA/510(K) IS ALLOWED PER REPORT. THIS ERROR HAS BEEN CORRECTED. A CAPA WAS OPENED TO PREVENT REOCCURRENCE OF THE FAILED SUBMISSION.
PATIENT WAS IMPLANTED WITH A REMEDE SYSTEM ON (B)(6) 2024. ON (B)(6) 2024, PATIENT HAD SUCCESSFUL THERAPY ACTIVATION. ON (B)(6) 2024, PATIENT WAS EVALUATED IN THE OFFICE BY (B)(6), FNP FOR THERAPY CHANGES. AVAILABLE NOTES DO NOT MENTION ANY POSSIBLE INFECTION. ON (B)(6) 2024, PATIENT PRESENTED VIRTUALLY TO THE IMPLANT CENTER WITH A SWOLLEN AND SOMEWHAT RED POCKET. PATIENT WAS SCHEDULED FOR AN APPOINTMENT ON (B)(6) 2024. ON (B)(6) 2024, PATIENT HAD BLOODWORK AND THE REMEDE SYSTEM REMOVED DUE TO SUSPECTED POCKET INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 140747 | REMEDE SYSTEM | IMPLANTED PHRENIC NERVE STIMULATOR FOR CENTRAL SLEEP APNEA | PSR | REMEDE SYSTEM | 1100 | 00857688007391 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Female | Required Intervention |