FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3032387 · Received March 29, 2013

Report

Report Number
1627487-2013-06115
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
OK, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORRECTION/REMOVAL NUMBER: 1627487-0542011-002-R, 1627487-12192011-003-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION AND FIELD ADVISORIES. 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: 1627487-2013-06116. IT WAS REPORTED THE PT'S IPG CHARGER GETS HOT WHILE CHARGING. THE PT REPORTED SHE HAS TAKEN BREAKS, ALLOW FOR THE CHARGER TO COOL DOWN, AND THEN RESUME CHARGING. A NEW LOW ENERGY CHARGER WAS SENT TO THE PT TO ADDRESS THE ISSUE. F/U IS PENDING. 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
130131 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 2845585

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention IMPLANT DATE:| SCS LEAD: MODEL 3186 (X2)