FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3201879 · Received June 26, 2013

Report

Report Number
1627487-2013-01742
Event Type
Injury
Date Received
June 26, 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
WV, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORRECTION NUMBER: 1627487-05242011-002-R, 1627487-07262012-002-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORY AND 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: 1627487-2013-1743. IT WAS REPORTED THE PATIENT WAS EXPERIENCING A HEATING SENSATION AT HIS IPG SITE WHILE CHARGING. THE PATIENT WAS ADVISED TO USE THE CHARGING POUCH AND NOT TO PLACE THE CHARGER BETWEEN HIS BODY AND HIS CHAIR. A NEW LE CHARGER WAS SENT TO THE PATIENT TO ADDRESS THE ISSUE. 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
291340 EON MINI SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 172129

Patients

Seq Age Sex Outcome Treatment
1 55 YR Other IMPLANT:| SCS LEAD: MODEL 3219