FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3110909 · Received May 8, 2013

Report

Report Number
1627487-2013-03610
Event Type
Injury
Date Received
May 8, 2013
Date of Event
April 17, 2013
Report Date
April 17, 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
MD, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IPG SERIAL NUMBER WAS INCLUDED IN A 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: 1627487-2013-03611. THE PATIENT REPORTED SHE EXPERIENCES HEATING AT HER SCS IPG POCKET SITE WHILE CHARGING. THE PATIENT ALSO REPORTED THE POCKET SITE BECAME RED AND PAINFUL. THE HEATING RESOLVES AWHILE AFTER CHARGING. A REPLACEMENT CHARGING SYSTEM (LOW ENERGY) HAS BEEN SENT TO THE PATIENT. NO ADD¿L INFO IS AVAILABLE AT THIS TIME. 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 WAS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
200159 EON MINI SCS IPG LGW ST. JUDE MEDICAL- NEUROMODULATION 3788 3792918

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention SCS LEAD: MODEL 3228| IMPLANT DATE: