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 |