FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 3961296 · Received July 18, 2014

Report

Report Number
1627487-2014-03489
Event Type
Injury
Date Received
July 18, 2014
Date of Event
June 24, 2014
Report Date
March 16, 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

IT WAS REPORTED THE PATIENT ALLEGES BURNING PAIN AND SHOCKING AT THE SCS IPG POCKET SITE. IT WAS ALSO REPORTED THE PATIENT ALLEGES "BURN SPOTS" AT THE BACK, FOOT, AND LEG WHEN THE SCS SYSTEM IS NOT IN USE. SURGICAL INTERVENTION WILL BE TAKEN AT A LATER DATE TO ADDRESS THE ISSUES. ON (B)(4) 2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO 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. DUE TO THE NATURE OF LITIGATION, THESE ALLEGATIONS CANNOT BE CONFIRMED OR REJECTED. 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.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
421163 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 3866015

Patients

Seq Age Sex Outcome Treatment
1 50 YR Other SCS ANCHOR: MODEL 1192(2)| IMPLANT DATE:| IMPLANT DATE:| SCS LEAD: MODEL 3186