FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3142247 · Received May 29, 2013

Report

Report Number
1627487-2013-15699
Event Type
Injury
Date Received
May 29, 2013
Date of Event
May 6, 2013
Report Date
May 6, 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
MI, 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: 1627487-2013-15700. THE PT REPORTED, HE IS EXPERIENCED UNCOMFORTABLE HEATING AT THE IPG SITE WHILE CHARGING. PT STATED, HE STOPPED CHARGING DUE TO THE HEATING IS UNCOMFORTABLE HEATING. A REPLACEMENT LE CHARGING SYSTEM WAS SENT TO THE PT. F/U IDENTIFIED THE PT'S ISSUE WAS RESOLVED WITH THE USE OF THE REPLACEMENT CHARGING SYSTEM. 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
234388 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3818177

Patients

Seq Age Sex Outcome Treatment
1 45 YR Required Intervention IMPLANT DATE:| IMPLANT DATE:| SCS ANCHOR: MODEL 1192 (2)| SCS LEAD: MODEL 3186 (2)