FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3201752 · Received June 26, 2013

Report

Report Number
1627487-2013-08262
Event Type
Injury
Date Received
June 26, 2013
Date of Event
June 4, 2013
Report Date
June 4, 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
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORRECTION NUMBER: 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: 1627487-2013-08263. IT WAS REPORTED THE PT WAS EXPERIENCING POCKET HEATING WHILE RECHARGING THE IPG (IMPLANTABLE PULSE GENERATOR) SITE. IT WAS UNK WHETHER THE PT WAS USING THE POUCH WHILE CHARGING AND THE CHARGING DURATION. A REPLACEMENT CHARGER WAS SHIPPED TO THE PT. 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
290648 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3185653

Patients

Seq Age Sex Outcome Treatment
1 70 YR Other SCS LEAD: MODEL 3186 (2)| SCS ANCHOR: MODEL 1192 (2)| IMPLANT DATE:| IMPLANT DATE: