BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LAMITRODE TRIPOLE 16

    MDR report key: 3961100 · Received July 15, 2014

    Report

    Report Number
    1627487-2014-12471
    Event Type
    Injury
    Date Received
    July 15, 2014
    Date of Event
    June 17, 2014
    Report Date
    February 11, 2016
    Manufacturer
    ST JUDE MEDICAL NEUROMODULATION
    Product Code
    GZB
    PMA / PMN Number
    P010032
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    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 2 OF 3. REFER TO MFR REPORT #1627487-2014-12470, 1627487-2014-12472. IT WAS REPORTED THAT THE PATIENT'S IPG IS TENDER TO THE TOUCH AND THE IPG IS MOVING WHEN SHE WALKS. THE PATIENT EXPERIENCED SHOCKING AT RANDOM TIMES. THE PATIENT REPORTED THAT THE STIMULATION TURNS ON AND OFF BY ITSELF. THE SCS SYSTEM REQUIRES RECHARGING MORE FREQUENTLY AND EXPERIENCES HEATING WHILE CHARGING. SURGICAL INTERVENTION IS PLANNED 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
    413145 LAMITRODE TRIPOLE 16 SCS LEAD GZB ST JUDE MEDICAL NEUROMODULATION 3219 2926195

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Other