FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 4193329 · Received October 20, 2014

Report

Report Number
1627487-2014-24297
Event Type
Injury
Date Received
October 20, 2014
Date of Event
September 26, 2014
Report Date
September 26, 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
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

RECALL: 1627487-12192011-003-R. THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD ADVISORIES AND FIELD CORRECTION. SJM HAS LIMITED INFORMATION RELATED TO THE PATIENT'S MEDICAL HISTORY AN 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: 1627487-2014-24298. THE PATIENT REPORTED EXPERIENCING POCKET HEATING WHILE CHARGING. AS RESULT, A REPLACEMENT CHARGER WAS SENT TO THE PATIENT AND RESOLVED THE ISSUE. ON (B)(6) 2012, ST. JUDE MEDICAL, NEUROMODULATION DIVISION, 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
667159 EON MINI SCS IPG GZB ST. JUDE MEDICAL - NEUROMODULATION 3788 3224309

Patients

Seq Age Sex Outcome Treatment
1 44 YR Other SCS LEAD: MODEL 3186 (2)| IMPLANT DATE:| IMPLANT DATE:| SCS ANCHOR: MODEL 1192 (2)