FDA Adverse Event
Injury
Summary report: N
EON MINI
MDR report key: 3960894
·
Received July 22, 2014
Report
- Report Number
- 1627487-2014-06207
- Event Type
- Injury
- Date Received
- July 22, 2014
- Date of Event
- June 30, 2014
- Report Date
- March 17, 2016
- Manufacturer
- ST JUDE MEDICAL - NEUROMODULATION
- Product Code
- GZB
- 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 3. REF MFR REPORTS: 1627487-2014-06208; 06209. IT WAS REPORTED THE PT EXPERIENCED A HEATING SENSATION AT HIS IPG SITE WHILE CHARGING. 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 |
|---|---|---|---|---|---|---|---|
| 427068 | EON MINI | SCS IPG | GZB | ST JUDE MEDICAL - NEUROMODULATION | 3788 | 3389167 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Other | SCS LEAD: MODEL 3228| IMPLANT DATE: |