FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3123553 · Received May 17, 2013

Report

Report Number
1627487-2013-15648
Event Type
Injury
Date Received
May 17, 2013
Date of Event
April 23, 2013
Report Date
April 23, 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
GA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A 1627487-07262012-002-R, 1627487-12192011-003-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN FIELD ADVISORIES AND A FIELD 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: 1627487-2013-15649. IT WAS REPORTED THE PATIENT EXPERIENCES UNCOMFORTABLE HEATING WHILE CHARGING HER IPG. A REPLACEMENT LE CHARGING SYSTEM WAS SENT TO THE PATIENT AS THE NEXT COURSE OF ACTION. 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
218903 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 R173704

Patients

Seq Age Sex Outcome Treatment
1 66 YR Required Intervention SCS LEAD: MODEL 3186 (2)| IMPLANT: