FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2940715 · Received January 29, 2013

Report

Report Number
1627487-2013-03172
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
Removal / Correction Number
1627487-07262012-002-R
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 ADVISORY. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION. SJM HAS LIMITED INFO RELATED TO THE PT'S MEDICAL 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 MEDICAL HISTORY.

Description of Event or Problem · 1

REPORT 1 OF 4. REFERENCE MFR REPORTS: 1627487-2013-03173, 03174, 03175. THE PT HAS 2 SCS SYSTEMS. IT WAS REPORTED, THE PT EXPERIENCED HEATING AT HER SCS IPG POCKET SITE WHILE CHARGING HER SCS SYSTEM. F/U IDENTIFIED A REPLACEMENT CHARGING SYSTEM RESOLVED THE ISSUE. 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
38818 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3382937

Patients

Seq Age Sex Outcome Treatment
1 43 YR Required Intervention SCS LEAD: MODEL 3149 (2)| IMPLANT DATE:| SCS ANCHOR: MODEL 1192 (2)| IMPLANT DATE: