FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3001525 · Received March 5, 2013

Report

Report Number
1627487-2013-06027
Event Type
Injury
Date Received
March 5, 2013
Date of Event
February 12, 2013
Report Date
February 12, 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
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALL NUMBER: 1627487-12192011-003-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: 1627487-2013-06028. THE PT REPORTED THAT THE CHARGER BURNS HER SKIN EVERY TIME SHE CHARGES. A NEW LOW ENERGY CHARGER WAS SENT TO THE PT TO ADDRESS THIS ISSUE. ON (B)(4) 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
94050 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 2839908

Patients

Seq Age Sex Outcome Treatment
1 65 YR Required Intervention SCS LEAD: MODEL 3225| IMPLANT DATE: