FDA Adverse Event Injury Summary report: N

EON MINI

MDR report key: 4212785 · Received October 24, 2014

Report

Report Number
1627487-2014-02748
Event Type
Injury
Date Received
October 24, 2014
Date of Event
August 19, 2013
Report Date
September 30, 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
WV, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THIS IPG SERIAL NUMBER WAS INCLUDED IN A FIELD CORRECTION. SJM HAS LIMITED INFORMATION 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: 1627487-2014-02749. IT WAS REPORTED THE PATIENT EXPERIENCES WARMTH/HEATING AT THE IPG SITE WHILE CHARGING. A REPLACEMENT CHARGING SYSTEM WAS SENT TO THE PATIENT TO ADDRESS THE ISSUE. ON AUGUST 1, 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
678077 EON MINI SCS IPG GZB ST. JUDE MEDICAL -NEUROMODULATION 3788 3799653

Patients

Seq Age Sex Outcome Treatment
1 58 YR SCS LEAD, MODEL 3286| IMPLANT DATE:| SCS LEAD, MODEL 3186 & 3286| IMPLANT DATE: