FDA Adverse Event
Injury
Summary report: N
EON MINI IPG
MDR report key: 4093188
·
Received September 9, 2014
Report
- Report Number
- MW5038189
- Event Type
- Injury
- Date Received
- September 9, 2014
- Date of Event
- July 9, 2014
- Report Date
- September 9, 2014
- Manufacturer
- ST JUDE
- Product Code
- GZB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
ONGOING ISSUE OF DEVICE SHUTTING ITSELF DOWN. REQUIRES USE OF MAGNETS TO REACTIVATE. SUGGESTING SERIOUS ISSUES WITH PRINTED CIRCUIT BOARD AND SOLDERING WELDS. PT IN CONTACT WITH TECHNICAL SUPPORT AND REP, BUT THIS INFO NOT PASSED ON TO THE IMPLANTING PHYSICIAN. CONCERN WITH QUALITY CONTROL AT ST. JUDE. I HAVE FOUND OUT THAT THIS DEVICE IS INCLUDED ON A SERIOUS MEDICAL DEVICE RECALL LIST. THIS INFO SHOULD HAVE BEEN COMMUNICATED IN (B)(6), AND NOT THROUGH COMMUNICATION WITH THE PT THREE MONTHS LATER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 556300 | EON MINI IPG | SPINAL CORD STIMULATOR GENERATOR | GZB | ST JUDE | 3788 | 2842398 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Required Intervention | SYNCHROMED II INTRATHECAL PUMP WITH DILAUDID| 400 MCG/DAY |