FDA Adverse Event
Injury
Summary report: N
EON MINI
MDR report key: 2792148
·
Received October 11, 2012
Report
- Report Number
- 1627487-2012-02483
- Event Type
- Injury
- Date Received
- October 11, 2012
- Date of Event
- September 19, 2012
- Report Date
- September 19, 2012
- Manufacturer
- ST. JUDE MEDICAL - NEUROMODULATION
- Product Code
- LGW
- PMA / PMN Number
- P010032
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
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
IT WAS REPORTED THE PT FELT THE IPG HEATING UP WHENEVER THE SYSTEM WAS ON. HE STATED THE SITE GETS RED OR HOT AND HE HAS TO TURN STIMULATION OFF AFTER A COUPLE OF HOURS TO LET THE SENSATION SUBSIDE. F/U IDENTIFIED THE HEATING SENSATION HAD DIMINISHED AND WAS NO LONGER AN ISSUE FOR THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | EON MINI | SCS IPG | LGW | ST. JUDE MEDICAL - NEUROMODULATION | 3788 | 3751681 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 35 YR | Required Intervention | IMPLANT DATE:| SCS LEAD: MODEL 3228 |