BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EON MINI

    MDR report key: 4163272 · Received October 8, 2014

    Report

    Report Number
    1627487-2014-03653
    Event Type
    Injury
    Date Received
    October 8, 2014
    Date of Event
    June 1, 2014
    Report Date
    September 19, 2014
    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 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

    IT WAS REPORTED THE PATIENT'S PROGRAMMER INDICATED THE SCS IPG WAS AT THE STIM OFF AND NOW IS RECEIVING A COMM ERROR 2501 FOLLOWING THE SCS IPG NOT BEING CHARGED SINCE (B)(6) 2014. SURGICAL INTERVENTION MAY BE TAKEN AT A LATER DATE TO ADDRESS THE ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    633664 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 4068309

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Other SCS LEAD, MODEL: 3228| IMPLANT DATE: