FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3141093 · Received May 24, 2013

Report

Report Number
1627487-2013-03699
Event Type
Injury
Date Received
May 24, 2013
Date of Event
December 2, 2012
Report Date
May 2, 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
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALL: 1627487-07262012-002-R, 1627487-07262012-001-C. THIS IPG SERIAL NUMBER WAS INCLUDED IN FIELD ADVISORIES AND 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. REF MFR REPORT: 1627487-2013-03700. THE PT REPORTED EXPERIENCING WARMING AT HER SCS IPG POCKET SITE WHILE CHARGING. SUBSEQUENTLY, A REPLACEMENT CHARGING SYSTEM (LOW ENERGY) WAS SENT TO THE PT. THE PT ALSO REPORTED DISCOMFORT AT THE POCKET SITE REGARDLESS OF STIMULATION (REF MFR REPORTS: 1627487-2013-13737 AND 1627487-2013-13738). F/U IDENTIFIED THE POCKET HEATING ISSUE RESOLVED WITH THE REPLACEMENT CHARGING SYSTEM. ON 08/01/2012 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 ARE EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
230645 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 2893991

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention IMPLANT DATE:| IMPLANT DATE:| SCS LEAD: MODEL 3186 (2)| SCS ANCHOR: MODEL 1194 (2)