FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3134044 · Received May 23, 2013

Report

Report Number
1627487-2013-08140
Event Type
Injury
Date Received
May 23, 2013
Date of Event
September 24, 2010
Report Date
May 1, 2013
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
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
AZ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A 1627487-07262012-001-C. THIS IPG SERIAL NUMBER WAS INCLUDED IN FIELD ADVISORIES 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 3. REFERENCE MFR REPORT: 1627487-2013-08041, 08042. IT WAS REPORTED THE PT'S IPG (IMPLANTABLE PULSE GENERATOR) SITE BECAME HOT WHEN USING THE CHARGER. A REPLACEMENT CHARGER WAS SET TO THE PT TO ADDRESS THE ISSUE. IT WAS ALSO REPORTED, SINCE THE IMPLANT DATE THE PT HAD UNINTENDED STIMULATION AND SHOCKING IN THE IPG AREA WHEN THE STIMULATION WAS ON. 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
229171 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3162158

Patients

Seq Age Sex Outcome Treatment
1 47 YR Required Intervention