FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2971859 · Received February 19, 2013

Report

Report Number
1627487-2013-05239
Event Type
Injury
Date Received
February 19, 2013
Date of Event
January 25, 2013
Report Date
January 25, 2013
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Removal / Correction Number
1627487-05242011-002-R
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALL NUMBERS: 1627487-07262012-002-R AND 1627487-07262012-001-C. THIS IPG SERIAL NUMBER IS 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#: 1627487-2013-05240. IT WAS REPORTED THE PATIENT EXPERIENCES HEATING AT THE IPG SITE WHILE RECHARGING. THE PATIENT RECEIVED A REPLACEMENT CHARGING SYSTEM TO ADDRESS THE ISSUE, BUT THE OUTCOME IS UNKNOWN. 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
72761 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 176158

Patients

Seq Age Sex Outcome Treatment
1 49 YR Required Intervention IMPLANT:| SCS LEAD, MODEL: 3228| SCS EXTENSIONS, MODEL: 3386 (X2)| SCS EXTENSIONS, MODEL: 3383 (X2)| IMPLANT:| IMPLANT: