FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3052334 · Received April 4, 2013

Report

Report Number
1627487-2013-06144
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
1627487-07262012-002-R
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 AND A FIELD ADVISORY. 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: 1627487-2013-06145. IT WAS REPORTED THE PT IS EXPERIENCING SOME HEATING WHILE CHARGING. A NEW LOW ENERGY CHARGER WAS SENT TO THE PT TO ADDRESS THE ISSUE. F/U IS PENDING. ON (B)(4) 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
139179 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3308878

Patients

Seq Age Sex Outcome Treatment
1 35 YR Required Intervention SCS LEAD: MODEL 3186 (X2)| SCS ANCHOR: MODEL 1192 (X2)| IMPLANT DATE:| IMPLANT DATE: