BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHARGING SYSTEM

    MDR report key: 3010515 · Received March 14, 2013

    Report

    Report Number
    1627487-2013-13293
    Event Type
    Injury
    Date Received
    March 14, 2013
    Date of Event
    June 1, 2009
    Report Date
    February 21, 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 NUMBER WAS INCLUDED IN A FIELD CORRECTION. MANUFACTURER'S EVALUATION: CORRECTIVE AND PREVENTIVE ACTION (CAPA) INVESTIGATION WAS PERFORMED. RESULTS: POCKET HEATING WAS 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 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 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: 1627487-2013-13294. IT WAS REPORTED THE PT HAD EXPERIENCED POCKET HEATING WHILE CHARGING. THE PT STATED THIS HAS OCCURRED SINCE HE WAS FIRST IMPLANTED WITH HIS SCS SYSTEM. FOLLOW-UP INFORMATION IDENTIFIED THE PT WAS GIVEN A NEW LOW ENERGY CHARGER, HOWEVER, THE NEW CHARGER WAS UNABLE TO COMMUNICATE WITH THE PT'S IPG. THE PT'S OLD CHARGER DOES COMMUNICATE WITH THE PT'S IPG BUT SOMETIMES FLASHES A SLOW GREEN LIGHT WHEN CHARGING. A NEW CHARGING WAND HAS BEEN SENT TO THE PT TO TRY AND SEE IF IT RESOLVES THE ISSUE. FOLLOW-UP PENDING. ON (B)(4) 2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SET 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
    108346 CHARGING SYSTEM SCS CHARGER LGW ST. JUDE MEDICAL - NEUROMODULATION 3721 2791323

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Required Intervention IMPLANT DATE:| SCS LEAD: MODEL: 3219