FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3110663 · Received May 10, 2013

Report

Report Number
1627487-2013-08060
Event Type
Injury
Date Received
May 10, 2013
Date of Event
April 15, 2013
Report Date
April 15, 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
PA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS SERIAL NUMBER WAS INCLUDED IN FIELD ADVISORY AND FIELD CORRECTION. SJM HAS LIMITED INFORMATION 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: 1627487-2013-08061. IT WAS REPORTED THE PT EXPERIENCED HEATING OF POCKET SITE WHILE RECHARGING AND ALSO HAD DARK MARKS NEAR THE IPG (IMPLANTABLE PULSE GENERATOR) SITE. IT WAS REPORTED HE WAS UNABLE TO RECHARGE THE DEVICE AS THE CHARGER STOPPED WORKING. REPLACEMENT CHARGER WAS NOT ABLE TO COMMUNICATE WITH THE IPG. F/U INFO SUGGESTED THE PHYSICIAN WILL BE CONSULTED ABOUT THE POTENTIAL IPG REPLACEMENT AT A FUTURE DATE. ON (B)(4) 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
205579 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3290709

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention SCS LEAD: MODEL 3186| IMPLANT DATE: