BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI

    MDR report key: 4093630 · Received September 4, 2014

    Report

    Report Number
    1627487-2014-26695
    Event Type
    Injury
    Date Received
    September 4, 2014
    Date of Event
    August 11, 2014
    Report Date
    August 11, 2014
    Manufacturer
    ST. JUDE MEDICAL - NEUROMODULATION
    Product Code
    GZB
    PMA / PMN Number
    P010032
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, 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

    THE PATIENT REPORTED HER IPG IS MOVING IN THE POCKET AND CAUSING DISCOMFORT. IN ADDITION SHE STATES SHE HAS LOST A LOT OF WEIGHT. FOLLOW UP INFORMATION IDENTIFIED REPROGRAMMING WAS ABLE TO PROVIDE EFFECTIVE STIMULATION. THE PATIENT IS NO LONGER EXPERIENCING DISCOMFORT. THE PHYSICIAN ASSESSED THE POCKET SITE AND DID NOT FEEL AS IF THERE WAS AN ISSUE WITH THE POCKET SITE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    541571 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 3240697

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Other IMPLANT DATE:| SCS LEAD: MODEL 3186