FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3110643 · Received May 10, 2013

Report

Report Number
1627487-2013-13731
Event Type
Injury
Date Received
May 10, 2013
Date of Event
April 19, 2013
Report Date
April 19, 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 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 1 OF 2. REFERENCE MFR REPORT: 1627487-2013-13732. THE PT REPORTED HER IPG POCKET SITE BEGINS TO GET HOT SHORTLY AFTER SHE BEGINS CHARGING AND SHE THEN NEEDS TO STOP. THE PT STATED SHE CHARGES HER IPG IN VERY SHORT INTERVALS USING THE POUCH TO AVOID IT GETTING HOT. A NEW LE CHARGER WAS SENT TO THE PT AND THE PT IS USING IT WITH NO ISSUES. 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
207803 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3406019

Patients

Seq Age Sex Outcome Treatment
1 76 YR Required Intervention IMPLANT DATE:| SCS EXTENSION: MODEL 3341| IMPLANT DATE:| IMPLANT DATE:| SCS LEAD: MODEL 3156 (2)| SCS ANCHOR: MODEL 1192 (3)| IMPLANT DATE:| SCS LEAD: MODEL 3286