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