FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 4093665 · Received September 4, 2014

Report

Report Number
1627487-2014-08232
Event Type
Injury
Date Received
September 4, 2014
Date of Event
August 7, 2014
Report Date
November 24, 2015
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 FILED CORRECTION. SJM HAS LIMITED INFO RELATED TO THE PT'S MEDICAL HISTORY AND IS UNABLE TO FORM AN OPINION AS TO THE RELEVANCY OF THE PT'S HISTORY TO THE EVENT REPORTED. SJM DEFERS TO THE PT'S PHYSICIAN REGARDING MEDICAL HISTORY.

Description of Event or Problem · 1

DEVICE 1 OF 2. REFERENCE MFR REPORT # 1627487-2014-08233. INFO RECEIVED IDENTIFIED THE PT ALLEGED TO HAVE EXPERIENCED "OVERHEATING LEADING TO BURNING SENSATIONS" AS WELL AS INCREASED RECHARGE TIME. THE PT IS REPORTEDLY NO LONGER USING HIS SCS SYSTEM. ADD'L INFO IS NEEDED TO CLARIFY THE NATURE OF THE PT'S HEATING ISSUES. SJM WAS MADE AWARE OF THE ISSUES ON (B)(6) 2014, AND THE PT'S SCS SYSTEM WAS NOT EVALUATED BY AN SJM REPRESENTATIVE TO VERIFY AND/OR TROUBLESHOOT ANY OF THE REPORTED ISSUES. ON 08/01/2012 ST. JUDE MEDICAL, NEUROMODULATION DIVISION, SENT FIELD ACTION LETTERS TO PTS RELATED TO HEATING WHILE CHARGING AND RAISED AWARENESS OF THIS ISSUE TO PTS. 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
541540 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 3590615

Patients

Seq Age Sex Outcome Treatment
1 37 YR Other SCS LEAD, MODEL 3288| SCS EXTENSION, MODEL 3386 (X2)| IMPLANT DATE:| IMPLANT DATE: