FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3110588 · Received May 10, 2013

Report

Report Number
1627487-2013-03639
Event Type
Injury
Date Received
May 10, 2013
Date of Event
April 17, 2013
Report Date
April 17, 2013
Manufacturer
ST. JUDE MEDICAL, NEUROMODULATION DIVISION
Product Code
LGW
PMA / PMN Number
P010032
Removal / Correction Number
1627487-12192011-003-R
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORRECTION/REMOVAL NUMBERS: 1627487-05242011-002-R, 1627487-07262012-002-R, 1627487-07262012-001-C. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORIES AND A 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: 1627487-2013-03640. THE PATIENT REPORTED HE IS EXPERIENCING HEATING AT HIS SCS IPG POCKET SITE WHILE CHARGING. THE PATIENT ALSO REPORTED HE HAS TO CHARGE IN INTERVALS TO LET THE DEVICE(S) COOL. A REPLACEMENT CHARGING SYSTEM (LOW ENERGY) WAS SENT TO THE PATIENT. FOLLOW-UP IDENTIFIED THE ISSUE RESOLVED WITH THE REPLACEMENT CHARGING SYSTEM. ON 08/01/2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD 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
208518 EON MINI SCS IPG LGW ST. JUDE MEDICAL, NEUROMODULATION DIVISION 3788 2799144

Patients

Seq Age Sex Outcome Treatment
1 62 YR Required Intervention IMPLANT DATE:| SCS ANCHOR: MODEL 1194 (2)| SCS LEAD: MODEL 3086 (2)| IMPLANT DATE: