BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI

    MDR report key: 2980088 · Received February 22, 2013

    Report

    Report Number
    1627487-2013-02261
    Event Type
    Injury
    Date Received
    February 22, 2013
    Date of Event
    January 28, 2012
    Report Date
    January 28, 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
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    CORRECTION/REMOVAL NUMBERS: 1627487-05242011-002-R, 1627487-12192011-003-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN FIELD ADVISORIES AND A FIELD CORRECTION. SJM HAS LIMITED INFORMATION 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

    DEVICE 1 OF 2. REFERENCE MFR REPORT: 1627487-2013-02262. IT WAS REPORTED THE PT HAD NOT USED HER SYSTEM IN OVER A YR DUE TO BURNS SHE REC'D WHILE CHARGING HER IPG. SHE STATED HER IPG WILL NO LONGER CHARGE. THE PT WAS ADVISED TO CONSULT WITH HER PHYSICIAN ABOUT THE NEXT COURSE OF ACTION. NO FURTHER INFO IS AVAILABLE AT THIS TIME. 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
    77234 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 2836742

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Required Intervention SCS LEAD: MODEL 3214| SCS ANCHOR: MODEL 1194| IMPLANT DATE:| IMPLANT DATE: