FDA Adverse Event Injury Summary report: N

EON MINI IPG, 16-CHANNEL RECHARGEABLE

MDR report key: 8726640 · Received June 24, 2019

Report

Report Number
1627487-2019-07277
Event Type
Injury
Date Received
June 24, 2019
Date of Event
March 6, 2019
Report Date
June 24, 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
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE DIRECTIONS FOR USE STATES THAT THE IMPLANT MUST BE CHARGED EVERY 30 DAYS TO AVOID BATTERY DEPLETION. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED INCIDENT IS RELATED TO USER ERROR.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) WAS INOPERABLE DUE TO THE PATIENT NOT CHARGING. PROGRAMMING CHANGES WERE ATTEMPTED HOWEVER WAS UNSUCCESSFUL DUE TO THE IPG BEING INOPERABLE. IT IS UNKNOWN WHEN THE PATIENT STOPPED CHARGING OR LAST HAD THERAPY. THE DEVICE WAS EXPLANTED, AND A NEW DEVICE WAS IMPLANTED AS A RESULT TO RESOLVE THE ISSUE. THERAPY WAS RESTORED POST PROCEDURE. PATIENT HAD EFFECTIVE COVERAGE POST PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
523242 EON MINI IPG, 16-CHANNEL RECHARGEABLE SCS IPG LGW ST. JUDE MEDICAL - NEUROMODULATION 3788 3797074 05414734402651

Patients

Seq Age Sex Outcome Treatment
1 Other