BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHARGING SYSTEM

    MDR report key: 3001487 · Received March 5, 2013

    Report

    Report Number
    1627487-2013-05317
    Event Type
    Injury
    Date Received
    March 5, 2013
    Date of Event
    February 11, 2013
    Report Date
    February 11, 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 CHARGER MODEL WAS ASSOCIATED WITH A FIELD CORRECTION. CORRECTIVE AND PREVENTIVE ACTION (CAPA) WAS PERFORMED. POCKET HEATING WAS CONFIRMED. THE INVESTIGATION FOR CAPA (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 TEMPERATURE 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 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 2 OF 2. REF MFR REPORT #: 1627487-2013-05316. IT WAS REPORTED THE PT HAS BEEN EXPERIENCING HEATING WHILE RECHARGING THE IPG. THE PT ATTEMPTED TO RECHARGE IN SHORT INTERVALS TO NO AVAIL. THE PT WAS SENT A REPLACEMENT CHARGING SYSTEM AND IT PERFORMS BETTER THAN THE PRIOR CHARGING SYSTEM. THE PT'S SCS SYSTEM WILL BE EXPLANTED DUE TO THE PT NEEDING AN MRI. THE PT WILL MEET WITH HIS DOCTOR ON A LATER DATE. 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
    93991 CHARGING SYSTEM SCS CHARGIN SYSTEM LGW ST. JUDE MEDICAL - NEUROMODULATION 3721 3126004

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention SCS ANCHOR, MODEL 1192| IMPLANT DATE:| SCS LEAD, MODEL 3186| IMPLANT DATE:| IMPLANT DATE:| SCS LEAD, MODEL 3186