BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI

    MDR report key: 2903193 · Received January 2, 2013

    Report

    Report Number
    1627487-2013-13002
    Event Type
    Injury
    Date Received
    January 2, 2013
    Date of Event
    December 4, 2012
    Report Date
    December 4, 2012
    Manufacturer
    ST JUDE MED - NEUROMODULATION
    Product Code
    LGW
    PMA / PMN Number
    P010032
    Removal / Correction Number
    1627487-05242011-002-R
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    CORRECTION: 1627487-07262012-002-R; 1627487-07262012-001-C. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORY, AND A FIELD CORRECTION. SJM HAS LIMITED INFO RELATED TO THE PT'S MED 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 MED HISTORY.

    Description of Event or Problem · 1

    DEVICE 2 OF 2. REFERENCE MFR REPORT: 1627487-2013-13001. IT WAS REPORTED BY THE PT THE CHARGING SYS WOULD GET HOT WHILE CHARGING. MULTIPLE ATTEMPTS TO CONTACT THE PT WERE UNSUCCESSFUL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1010 EON MINI SCS IPG LGW ST JUDE MED - NEUROMODULATION 3788 2786984

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Required Intervention IMPLANT:| SCS EXTENSION, MODEL 3342| SCS LEAD, MODEL 3146 (2)| IMPLANT:| SCS LEAD, MODEL 3186| IMPLANT: