FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 4172691 · Received October 10, 2014

Report

Report Number
1627487-2014-26837
Event Type
Injury
Date Received
October 10, 2014
Date of Event
August 1, 2014
Report Date
September 18, 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
OK, 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 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: 1627487-2014-26838. THE PT REPORTS SHE EXPERIENCED UNCOMFORTABLE POCKET HEATING WHILE RECHARGING. SHE REPORTS THE HEATING HAS BECOME UNCOMFORTABLE TO THE POINT SHE HAD TO STOP CHARGING. A REPLACEMENT MODEL 3722 CHARGING SYSTEM WAS SENT TO THE PT AND THE ISSUE IS RESOLVED. 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 THE OTHER NON-REPORTED EVENTS WAS EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
643313 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 3711871

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other IMPLANT DATE:| SCS ANCHOR: MODEL 1192| IMPLANT DATE:| SCS ANCHOR: MODEL 1192 (2)| IMPLANT DATE:| SCS LEAD: MODEL 3186| IMPLANT DATE:| SCS LEAD: MODEL 3286