FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2970951 · Received February 15, 2013

Report

Report Number
1627487-2013-05212
Event Type
Injury
Date Received
February 15, 2013
Date of Event
January 24, 2012
Report Date
January 22, 2013
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#: 1627487-2013-05213. IT WAS REPORTED THAT PATIENT HAS BEEN EXPERIENCING HEATING AT THE IPG SITE WHILE RECHARTERING SINCE BEING IMPLANTED. IT WAS ALSO REPORTED THE PATIENT EXPERIENCES PAINFUL OVERSTIMULATION AT THE IPG SITE ONCE A WEEK. THE PATIENT WAS SENT A REPLACEMENT CHARGING SYSTEM TO ADDRESS THE POCKET HEATING ISSUE. ON (B)(4) 2012, ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PATIENT RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO PATIENTS. AN INCREASE IN PRIOR NON-REPORTED HEATING WHILE CHARGING EVENT AND OTHER NON-REPORTED EVENTS WAS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69567 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3535799

Patients

Seq Age Sex Outcome Treatment
1 53 YR Required Intervention IMPLANT:| SCS LEAD: MODEL - 3288