BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON

    MDR report key: 4163213 · Received October 8, 2014

    Report

    Report Number
    1627487-2014-03651
    Event Type
    Injury
    Date Received
    October 8, 2014
    Date of Event
    September 19, 2014
    Report Date
    September 19, 2014
    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
    NJ, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION. SJM HAS LIMITED INFO 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 1 OF 2. REFERENCE MFR REPORT# : 1627487-2014-03652. THE PATIENT'S SPOUSE REPORTED THE PATIENT EXPERIENCED OCCASIONAL HEATING AT THE SCS IPG POCKET SITE WHILE CHARGING WHICH CAUSED THE PATIENT TO HAVE TO APPLY AN ICE PACK TO THE SITE AFTERWARDS. THE PATIENT RECEIVED A REPLACEMENT MODEL 3726 CHARGING SYSTEM WHICH RESOLVED THE ISSUE. ON 08/01/2012 ST. JUDE MEDICAL, NEUROMODULATION DIV, 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
    633774 EON SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3716 57396

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Other IMPLANT DATE:| SCS LEAD, MODEL: 3186 (2)