FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 2993980 · Received March 1, 2013

Report

Report Number
1627487-2013-10064
Event Type
Injury
Date Received
March 1, 2013
Date of Event
January 29, 2013
Report Date
February 5, 2013
Manufacturer
ST. JUDE MEDICAL NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORY. THIS IPG SERIAL NUMBER WAS ALSO INCLUDED IN A FIELD CORRECTION. RECALL NUMBERS: 1627487-12192011-003-R, 1627487-07262012-002-R, 1627487-07262012-001-C. RESULTS: THE COMPLAINT REGARDING POCKET HEATING WHILE RECHARGING WAS CONFIRMED. EXTENSIVE INVESTIGATION FOR THIS COMPLAINT HAS FOUND THE IPG CAN GENERATE EXCESSIVE HEATING WHEN RECHARGED WITH THE 3721 CHARGING SYSTEM. THIS INVESTIGATION WAS ADDRESSED IN THE POCKET HEATING CAPA. NO IPG FAILURES OBSERVED. 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 1 OF 2. REFERENCE MFR REPORT: 1627487-2013-10065. IT WAS REPORTED THE PATIENT (SPAIN) EXPERIENCED DISCOMFORT WHILE CHARGING THE IPG. THE PATIENT REPORTED SHE DEVELOPED BRUISES AND LESIONS ON THE SKIN SURROUNDING THE IPG SITE. THE PHYSICIAN ELECTED TO EXPLANT AND REPLACE THE IPG UPON EXPLANT, THE PHYSICIAN NOTED THAT THE IPG POCKET WAS AFFECTED BY BURNS. NO FURTHER INFO IS AVAILABLE AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
89446 EON MINI SCS IPG LGW ST. JUDE MEDICAL NEUROMODULATION 3788 3301985

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention