FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3192053 · Received June 20, 2013

Report

Report Number
1627487-2013-15829
Event Type
Injury
Date Received
June 20, 2013
Date of Event
May 29, 2013
Report Date
May 29, 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
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IPG SERIAL NUMBER WAS INCLUDED IN 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. REF MFR REPORT: 1627487-2013-15830. IT WAS REPORTED THE PT IS EXPERIENCING HEATING AT THE IPG WHILE CHARGING. A REPLACEMENT LE CHARGING SYSTEM WAS SENT TO THE PT. ON (B)(4) 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
281551 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3843553

Patients

Seq Age Sex Outcome Treatment
1 53 YR Other IMPLANT DATE:| SCS LEAD, MODEL 3228