FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2792099 · Received October 11, 2012

Report

Report Number
1627487-2012-01846
Event Type
Injury
Date Received
October 11, 2012
Date of Event
September 20, 2012
Report Date
September 20, 2012
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Removal / Correction Number
1627487-07262012-001-C
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION. SJM HAS LIMITED INFO RELATED TO THE PT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

DEVICE 1 OF 2. REFERENCE MFR REPORT: 1627487-2012-1847. IT WAS REPORTED THE PT IS EXPERIENCING SEVERE HEATING AT HIS IPG SITE WHILE CHARGING WHEN LAYING DOWN. THE PT STATED CHARGING STANDING UP HAS HELPED THE PROBLEM. THE PT WAS ADVISED TO CHARGE MORE FREQUENTLY FOR SHORTER PERIODS OF TIME. ON (B)(6) 2012, ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PTS RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO THE PTS. AN INCREASE IN PRIOR NON-REPORTED HEATING WHILE CHARGING EVENTS AND OTHER NON-REPORTED EVENTS WAS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3654627

Patients

Seq Age Sex Outcome Treatment
1 35 YR Required Intervention IMPLANTED:| SCS ANCHOR: MODEL 1192| IMPLANTED:| SCS LEAD: MODEL 3186