BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON

    MDR report key: 3193624 · Received June 25, 2013

    Report

    Report Number
    1627487-2013-15848
    Event Type
    Injury
    Date Received
    June 25, 2013
    Date of Event
    June 3, 2013
    Report Date
    June 3, 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. REFERENCE MFR REPORT: 1627487-2013-15849. IT WAS REPORTED THE PATIENT EXPERIENCES A BURNING SENSATION AT THE IPG SITE WHILE CHARGING. THE PATIENT INDICATED HE IS UNSURE IF THE SENSATION IS LOCATED AT THE SURFACE OF THE SKIN OR UNDERNEATH, BUT THAT CHEST WILL TURN RED WHEN CHARGING. THE PATIENT CHARGES WITH STIMULATION OFF. THE PATIENT WAS SENT A REPLACEMENT CHARGING SYSTEM AS THE NEXT COURSE OF ACTION. ON 08/01/2012 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
    287469 EON SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3716 3428594

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Other IMPLANT:| SCS LEAD: MODEL 3189 (2)