FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2926349 · Received January 16, 2013

Report

Report Number
1627487-2013-03115
Event Type
Injury
Date Received
January 16, 2013
Date of Event
December 26, 2012
Report Date
December 26, 2012
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Removal / Correction Number
1627487-12192011-003-R
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALL NUMBER: 1627487-07262012-001-C. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORY. 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: 1627487-2013-03116. IT WAS REPORTED THE PATIENT WAS EXPERIENCING HEATING AT HER SCS IPG POCKET SITE WHILE CHARGING HER SCS SYSTEM. THE PATIENT IS TO RECEIVE A REPLACEMENT CHARGING SYSTEM (LOW ENERGY). ON (B)(4) 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
23938 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3079795

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention SCS LEAD, MODEL 3186 (2)| IMPLANT DATE: