BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON

    MDR report key: 3032386 · Received March 29, 2013

    Report

    Report Number
    1627487-2013-06118
    Event Type
    Injury
    Date Received
    March 29, 2013
    Date of Event
    March 8, 2013
    Report Date
    March 8, 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 IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION. 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. REF MFR REPORT: 1627487-2013-06119. IT WAS REPORTED THE PT HAS BEEN IMPLANTED SINCE 2009, BUT RECENTLY STARTED EXPERIENCING POCKET HEATING WHILE CHARGING. AN SJM REP HAS CONTACTED THE PT AND REVIEWED THE RECOMMENDATION STEPS TO HELP PREVENT POCKET HEATING. F/U INDICATES SJM REP COMMUNICATED WITH THE PT AND THE PT REPORTS HE IS FOLLOWING THE RECOMMENDED CHARGING STEPS AND IS NOT EXPERIENCING MUCH POCKET HEATING ANYMORE. ON 08/01/2012 ST JUDE MEDICAL, NEUROMODULATION DIV., 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 ARE EXPECTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    130374 EON SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3716 117155

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Required Intervention IMPLANT DATE:| SCS LEAD: MODEL 3163 (X2)| IMPLANT DATE:| SCS EXTENSION: MODEL 3383| SCS EXTENSION: MODEL 3382| IMPLANT DATE:| SCS LEAD: MODEL 3244| IMPLANT DATE:| IMPLANT DATE:| SCS ANCHOR: MODEL 1192| SCS EXTENSION: MODEL 3341| IMPLANT DATE: