FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3032504 · Received April 1, 2013

Report

Report Number
1627487-2013-13486
Event Type
Injury
Date Received
April 1, 2013
Date of Event
March 12, 2013
Report Date
March 12, 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

A 1627487-12192011-003-R AND 1627487-07262012-002-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORY AND 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 2 OF 2. REFERENCE MFR REPORT NUMBER: 1627487-2013-13485. THE PATIENT¿S HUSBAND REPORTED THE PATIENT HAD BEEN EXPERIENCING HEATING AND DISCOMFORT AT THE IPG SITE WHILE CHARGING. A NEW LOW ENERGY CHARGER WAS SHIPPED TO THE PATIENT. FOLLOW-UP PENDING. ON 08/01/2012, ST. JUDE MEDICAL NEUROMODULATION DIVISION, 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 WAS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
132898 EON MINI SCS IPG LGW ST JUDE MEDICAL NEUROMODULATION 3788 2929924

Patients

Seq Age Sex Outcome Treatment
1 58 YR Required Intervention IMPLANT DATE:| SCS LEAD: MODEL 3186 (2)| SCS ANCHOR: MODEL| IMPLANT DATE: