FDA Adverse Event Injury Summary report: N

EON MINI IPG, 16-CHANNEL RECHARGEABLE

MDR report key: 8520673 · Received April 16, 2019

Report

Report Number
1627487-2019-04144
Event Type
Injury
Date Received
April 16, 2019
Report Date
April 29, 2019
Manufacturer
ST. JUDE MEDICAL - NEUROMODULATION
Product Code
LGW
UDI-DI
05414734402651
PMA / PMN Number
P010032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THE PATIENT EXPERIENCED HEADACHES THAT STARTED WHEN SHE SWITCHED FROM TONIC TO BURSTDR. THIS WAS REPORTEDLY DUE TO THE THERAPY BEING INEFFECTIVE, THIS ISSUE WAS RESOLVED BY EDUCATING THE PATIENT ON BURST AND ADJUSTING THERAPY. SURGICAL INTERVENTION IS PLANNED AS BTE TRIAL WAS SUCCESSFUL.

Description of Event or Problem · 1

IT WAS REPORTED DURING FOLLOW UP THE PATIENT UNDERWENT SURGICAL INTERVENTION DURING WHICH THE IPG WAS EXPLANTED AND REPLACED. SURGICAL INTERVENTION ADDRESSED THE ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
313547 EON MINI IPG, 16-CHANNEL RECHARGEABLE IPG, SCS LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 2890999 05414734402651

Patients

Seq Age Sex Outcome Treatment
1 Other