FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3052227 · Received April 4, 2013

Report

Report Number
1627487-2013-13508
Event Type
Injury
Date Received
April 4, 2013
Date of Event
March 13, 2013
Report Date
March 13, 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 MODEL WAS ASSOCIATED WITH A FIELD CORRECTION. SJM HAS LIMITED INFORMATION RELATED TO THE PATIENT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PATIENT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PATIENT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

DEVICE 1 OF 2. REFERENCE MFR. REPORT: 1627487-2013-13509. IT WAS REPORTED THE PATIENT WAS COMPLAINING OF PAINFUL HEATING AT THEIR IPG SITE WHILE RECHARGING. IT WAS NOTED THE PATIENT WOULD NORMALLY RECHARGE IN 1 HOUR INCREMENTS. A NEW LOW ENERGY CHARGER WAS PROVIDED TO THE PATIENT. FOLLOW-UP PENDING. ON 08/01/2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FAILED ACTION LETTERS TO PATIENTS RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO PATIENTS. 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
139540 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3528812

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention IMPLANT DATE:| SCS ANCHOR, MODEL 1192 (2)| IMPLANT DATE:| SCS LEAD, MODEL 3186 (2)