BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EON MINI

    MDR report key: 2900792 · Received December 12, 2012

    Report

    Report Number
    1627487-2012-11811
    Event Type
    Malfunction
    Date Received
    December 12, 2012
    Date of Event
    November 12, 2012
    Report Date
    November 20, 2012
    Manufacturer
    ST. JUDE MEDICAL - NEUROMODULATION
    Product Code
    LGW
    PMA / PMN Number
    P010032
    Product Problem
    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 WAS CHARGING THE IPG EVERY 1.5 DAYS. THE SETTINGS FOR THE IPG WERE USED TO CALCULATE THE RECHARGE INTERVAL. THE RECHARGE INTERVAL APPEARED TO BE SHORTER THAT EXPECTED BASED ON THE SETTINGS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3744704

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Required Intervention IMPLANT:| SCS ANCHOR: MODEL 1192 (2)| IMPLANT:| SCS LEAD: MODEL 3228