FDA Adverse Event Injury Summary report: N

CHARGING SYSTEM

MDR report key: 2921611 · Received January 10, 2013

Report

Report Number
1627487-2013-02076
Event Type
Injury
Date Received
January 10, 2013
Date of Event
December 21, 2012
Report Date
December 21, 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 CHARGER MODEL WAS ASSOCIATED WITH A FIELD CORRECTION. CORRECTIVE AND PREVENTIVE ACTION (CAPA) WAS PERFORMED. RESULTS: POCKET HEATING WAS CONFIRMED. THE INVESTIGATION FOR CAPA (B)(4) ASSOCIATED WITH HEATING WHILE CHARGING (POCKET HEATING) CONCLUDED THAT THE CHARGER WAS CAPABLE OF TRANSFERRING ENERGY TO THE IPG AT A RATE THAT WOULD CAUSE HEATING OF THE IPG AND/OR CHARGING WAND OF SUFFICIENT ELEVATED TEMPERATURE TO CAUSE PAIN AND BURNS. THE HEATING WHILE CHARGING WAS DETERMINED TO BE EXACERBATED BY OFF-AXIS CHARGING OF SHALLOW IMPLANTED IPGS AND THAT ALL CHARGERS WERE CAPABLE OF ELEVATED HEATING. SJM HAS LIMITED INFORMATION RELATED TO THE PATIENT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PATIENT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PATIENT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

DEVICE 2 OF 2. REF MFR REPORT: 1627487-2013-02075. IT WAS REPORTED THE PT EXPERIENCES IPG POCKET HEATING WHEN STIMULATION IS ON. SHE REPORTED THE HEATING SENSATION WAS WORSE WHILE CHARGING HER IPG. SHE STATED SHE TURNED OFF HER SCS SYSTEM AS THE PAIN WAS TOO UNCOMFORTABLE AND THE PAIN SUBSIDES WHEN SHE TURNED THE SYSTEM OFF. THE PT REPORTED SHE WOULD PREFER TO HAVE HER IPG REPLACED SINCE SHE GETS PAIN RELIEF FROM THE STIMULATION. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME. ON 08/01/2012, ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PTS RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO 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
14667 CHARGING SYSTEM STS CHARGING SYSTEM LGW ST. JUDE MEDICAL - NEUROMODULATION 3721 UNK

Patients

Seq Age Sex Outcome Treatment
1 76 YR Required Intervention SCS LEAD, MODEL 3214| IMPLANT DATE: