BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHARGING SYSTEM

    MDR report key: 2992488 · Received March 4, 2013

    Report

    Report Number
    1627487-2013-03315
    Event Type
    Injury
    Date Received
    March 4, 2013
    Date of Event
    September 6, 2012
    Report Date
    February 6, 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
    OK, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THIS CHARGER MODEL WAS ASSOCIATED WITH A FIELD CORRECTION. MFR'S EVAL: CORRECTIVE AND PREVENTIVE ACTION CAPA) INVESTIGATION WAS PERFORMED. RESULT: POCKET HEATING CONFIRMED. THE INVESTIGATION FOR (B)(4) ASSOCIATED WITH HEATING WHILE CHARGING (POCKET HEATING) CONCLUDED THAT THE CHARGER WAS CAPABLE OF TRANSFERRING ENERGY TO THE IPG AT A RATE THAT WOULD CAUSE HEATING OF THE IPG AND/OR CHARGING WAND OF SUFFICIENT ELEVATED TEMP TO CAUSE PAIN AND BURNS. THE HEATING WHILE CHARGING WAS DETERMINED TO BE EXACERBATED BY OFF-AXIS CHARGING OF SHALLOW IMPLANTED IPGS AND THAT ALL CHARGERS WERE CAPABLE OF ELEVATED HEATING. 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

    DEVICE 2 OF 2. REFERENCE MFR REPORTS: 1627487-2013-03314. THE PT REPORTED SHE EXPERIENCED HEATING AND BEING BURNED AT HER SCS IPG POCKET SITE WHILE CHARGING HER SCS SYS. THE PT ALSO REPORTED SHE WENT TO THE ER AS A RESULT OF THE BURN. SUBSEQUENTLY, THE PT REDUCED HER CHARGING FREQUENCY. ALSO, A REPLACEMENT CHARGING SYS (LOW ENERGY) WAS SENT TO THE PT. F/U IDENTIFIED THE ISSUE HAS NOT BEEN RESOLVED; IN ADDITION, THE PT IS NO LONGER RECEIVING EFFECTIVE STIMULATION AFTER ENCOUNTERING A METAL DETECTOR. FURTHERMORE, THE PT EXPERIENCED A SHOCK DURING THE ENCOUNTER AND REPORTS HER SCS SYS MALFUNCTIONING FROM THAT POINT. ON (B)(4) 2012 ST. JUDE MEDICAL, NEUROMODULATION DIV, 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
    91767 CHARGING SYSTEM SCS CHARGING SYSTEM LGW ST. JUDE MEDICAL - NEUROMODULATION 3721 3125989

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Required Intervention SCS LEAD: MODEL 3186 (2)| IMPLANT: