FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3931657 · Received June 23, 2014

Report

Report Number
1627487-2014-25462
Event Type
Injury
Date Received
June 23, 2014
Date of Event
June 2, 2014
Report Date
June 2, 2014
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
GZB
PMA / PMN Number
P010032
Removal / Correction Number
1327487-07262012-001-C
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORRECTION/REMOVAL REPORTING NUMBERS: 1627487-12192011-003-R. 1627487-07262012-002-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION AND FIELD ADVISORIES. 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#: 1627487-2014-25463. IT WAS REPORTED THE PATIENT WAS EXPERIENCING UNCOMFORTABLE POCKET HEATING WHILE CHARGING. SUBSEQUENTLY, THE PATIENT RECEIVED A REPLACEMENT CHARGING SYSTEM WHICH RESOLVED 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
367056 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 2841436

Patients

Seq Age Sex Outcome Treatment
1 66 YR Other SCS LEAD: MODEL 3219| IMPLANT DATE: