FDA Adverse Event
Injury
Summary report: N
EON MINI IPG, 16-CHANNEL RECHARGEABLE
MDR report key: 8126166
·
Received December 3, 2018
Report
- Report Number
- 1627487-2018-12564
- Event Type
- Injury
- Date Received
- December 3, 2018
- Date of Event
- July 1, 2018
- Report Date
- December 3, 2018
- Manufacturer
- ST. JUDE MEDICAL - NEUROMODULATION
- Product Code
- LGW
- PMA / PMN Number
- P010032
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THE PATIENT DID NOT RECHARGE THE IPG AS RECOMMENDED. AS SUCH, THE PATIENT WAS WITHOUT STIMULATION FOR APPROXIMATELY 2 MONTHS AND THE IPG WAS INOPERABLE. IN TURN, THE PATIENT UNDERWENT SURGICAL INTERVENTION WHEREIN THE IPW WAS EXPLANTED AND REPLACED WITH A DIFFERENT MODEL. REPORTEDLY, THE PATIENT HAD EFFECTIVE THERAPY FOLLOWING THE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 965695 | EON MINI IPG, 16-CHANNEL RECHARGEABLE | SCS IPG | LGW | ST. JUDE MEDICAL - NEUROMODULATION | 3788 | 3866480 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |