EVOKE CLOSED LOOP STIMULATOR (CLS) (US)
Report
- Report Number
- 3021836309-2026-00083
- Event Type
- Injury
- Date Received
- March 19, 2026
- Date of Event
- March 3, 2026
- Report Date
- March 19, 2026
- Manufacturer
- SALUDA MEDICAL PTY LTD
- Product Code
- LGW
- UDI-DI
- 09352307001565
- PMA / PMN Number
- P190002
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
ADDITIONAL INFORMATION: SECTION D - EXPIRATION DATE; DATE RETURNED TO MANUFACTURER; DEVICE RETURNED TO MANUFACTURER. SECTION G - DATE RECEIVED BY MANUFACTURER; TYPE OF REPORT. SECTION H - DEVICE MANUFACTURE DATE; EVALUATION CODES. THE CLS, LEADS AND ANCHORS WERE RETURNED TO SALUDA. THE CLS AND ANCHORS PASSED VISUAL INSPECTION, WITH NO ANOMALIES OBSERVED. THE ROOT CAUSE OF THE PAIN AT THE CLS IMPLANT SITE AND ANCHOR SITE COULDN'T BE DEFINITIVELY DETERMINED. THE EVOKE SCS SYSTEM SURGICAL GUIDE DETAILS POTENTIAL RISKS ASSOCIATED WITH SURGERY AND SPINAL CORD STIMULATION INCLUDING, "TEMPORARY OR PERSISTENT POST-SURGICAL PAIN AT HARDWARE IMPLANTATION SITES AND ABNORMAL SENSATIONS OR PAIN AND THE PATIENT MAY REQUIRE SURGERY (INCLUDING REVISION, EXPLANT, AND REPLACEMENT) AS A RESULT". ANCHOR INFORMATION: MANUFACTURE DATE: 05JANUARY2023. EXPIRATION DATE: 04JANUARY2025.
INVESTIGATION OF THIS EVENT IS IN PROGRESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. ANCHOR INFORMATION: BRAND NAME: EVOKE ACTIVE ANCHOR KIT. MODEL: 102996. CATALOG: 3043. LOT/BATCH NUMBER: 9014868277. UDI: (B)(4).
A PATIENT IMPLANTED WITH AN EVOKE SPINAL CORD STIMULATION (SCS) SYSTEM REPORTED PAIN AT THE EVOKE CLOSED LOOP STIMULATOR (CLS) IMPLANT SITE AND ANCHOR IMPLANT SITE. 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 |
|---|---|---|---|---|---|---|---|
| 71766 | EVOKE CLOSED LOOP STIMULATOR (CLS) (US) | SCS IPG | LGW | SALUDA MEDICAL PTY LTD | 101144 | 09352307001565 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |