FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2921986 · Received January 4, 2013

Report

Report Number
1627487-2013-02030
Event Type
Injury
Date Received
January 4, 2013
Date of Event
December 12, 2012
Report Date
December 12, 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 IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION. 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 1 OF 2. REFERENCE MFR REPORT: 1627487-2013-02031. IT WAS REPORTED THE PATIENT STOPPED USING HER STIMULATION 2 MONTHS AGO BECAUSE SHE FELT POCKET HEATING AT THE IPG SITE. SHE REPORTED THE IPG FELT HOT WHEN IT WAS TURNED ON AND DURING CHARGING. THE PATIENT STATED SHE WOULD LIKE HER IPG REPLACED. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME. ON (B)(6) 2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PATIENTS RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO PATIENTS. 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
5969 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3531718

Patients

Seq Age Sex Outcome Treatment
1 53 YR Required Intervention SCS LEAD, MODEL 3228| IMPLANT DATE: