FDA Adverse Event
Malfunction
Summary report: N
PROCLAIM¿ 5 ELITE IMPLANTABLE PULSE GENERATOR
MDR report key: 25136210
·
Received May 11, 2026
Report
- Report Number
- 3006705815-2026-02906
- Event Type
- Malfunction
- Date Received
- May 11, 2026
- Date of Event
- April 15, 2026
- Report Date
- May 11, 2026
- Manufacturer
- ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC)
- Product Code
- LGW
- UDI-DI
- 05415067031419
- PMA / PMN Number
- P010032
- Removal / Correction Number
- 1627487-07/07/2023-001-C
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NV, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
DATE OF EVENT IS ESTIMATED. BASED ON INFORMATION OBTAINED THE DEVICE IS INCLUDED IN THE NEUROMODULATION IMPLANTABLE PULSE GENERATOR (IPG) UNABLE TO EXIT MRI MODE ADVISORY NOTICE ISSUED BY ABBOTT ON 22 JUNE 2023.
Description of Event or Problem · 0
IT WAS REPORTED THE PATIENT WAS NOT ABLE TO EXIT FROM MRI MODE AFTER AN MRI. AS A RESULT, AN ABBOTT REPRESENTATIVE PLANS TO MEET WITH THE PATIENT AND TROUBLESHOOT USING AN ORION EXIT TOOL (OET).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 48455 | PROCLAIM¿ 5 ELITE IMPLANTABLE PULSE GENERATOR | SCS IPG | LGW | ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) | 3660 | A000152773 | 05415067031419 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |