FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3142183 · Received May 29, 2013

Report

Report Number
1627487-2013-01617
Event Type
Injury
Date Received
May 29, 2013
Date of Event
April 1, 2012
Report Date
May 7, 2013
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
PMA / PMN Number
P010032
Removal / Correction Number
1627487-0762012-002-R
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORY. 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. REPORTS: 1627487-2013-1618. IT WAS REPORTED THE PT'S ENTIRE SCS SYS WAS ALLEGEDLY EXPLANTED IN (B)(6) 2012 (EXACT DATE UNK). THE REASON FOR EXPLANT WAS NOT PROVIDED. ON (B)(4) 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
233963 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3326485

Patients

Seq Age Sex Outcome Treatment
1 34 YR Required Intervention