BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI

    MDR report key: 2940683 · Received January 29, 2013

    Report

    Report Number
    1627487-2013-03170
    Event Type
    Injury
    Date Received
    January 29, 2013
    Date of Event
    January 8, 2013
    Report Date
    January 8, 2013
    Manufacturer
    ST. JUDE MEDICAL - NEUROMODULATION
    Product Code
    LGW
    PMA / PMN Number
    P010032
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    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: 1627487-2013-03171. THE PATIENT HAS 2 SCS SYSTEMS. IT WAS REPORTED THE PATIENT IS EXPERIENCING PAIN AT HIS SCS IPG POCKET SITE WITH AND WITHOUT SYSTEM STIMULATION. SUBSEQUENTLY, THE PHYSICIAN PRESCRIBED A TOPICAL ANALGESIC FOR THE PATIENT. ADDITIONALLY, THE PATIENT WAS ADVISED NOT TO USE THE ANALGESIC WHEN CHARGING HIS SCS SYSTEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    39504 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3622150

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR Required Intervention SCS LEAD: MODEL 3228| IMPLANT: