FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3001523 · Received March 5, 2013

Report

Report Number
1627487-2013-06025
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
1627487-07262012-002-R
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORRECTION: 1627487-12192011-003-R, 1627487-05242011-002-R, 1627487-05242011-002-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION AND FIELD ADVISORIES. 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: 1627487-2013-06026. IT WAS REPORTED THAT THE PT CALLED REPORTING THAT SHE HAS BEEN EXPERIENCING HEATING WHILE CHARGING. A NEW LOW ENERGY CHARGER WAS SENT TO THE PT TO ADDRESS THIS ISSUE. F/U INDICATES THAT THE PT REC'D THE REPLACEMENT CHARGER AND SHE IS NO LONGER HAVING ANY HEATING ISSUES. ON 08/01/2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PT'S RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO PT'S. 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
93097 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 2849290

Patients

Seq Age Sex Outcome Treatment
1 75 YR Required Intervention SCS ANCHOR: MODEL 1194 (X2)| SCS LEAD: MODEL 3186 (X2)| IMPLANT DATE:| IMPLANT DATE: