MAUDE MDR 2448346

MDR report key
2448346
Report number
0002242816-2012-00011
Event key
0
Event type
3
Date of event
2012-01-14
Date received
2012-02-13
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
ART KAUFMAN
Address
100 INTERPACE PARKWAY PARSIPPANY NJ 07054 US
Phone
983-983-9832
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SPF-PLUS 60/M (MINI)SPF-PLUS 60/M (MINI)EBI, LLCLOEN/A10-1398MN/AR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12012-02-1301. O; 2. R

Event Narratives#

D

Patient 1

IT WAS REPORTED THAT A REVISION SURGERY WAS CONDUCTED TO REMOVE THE IMPLANTABLE STIMULATOR AS THE PATIENT HAD CONTRACTED AN INFECTION.

N

Patient 1

THE PHYSICIAN'S MANUAL/INSTRUCTIONS FOR USE INDICATE THAT IN RANDOMIZED AND NON-RANDOMIZED CLINICAL STUDIES INVOLVING 493 PATIENTS USING THE MODEL SPF-4, TWENTY-TWO ADVERSE EVENTS (4%) WERE REPORTED; OF WHICH 5 WERE FOR REPORTED INFECTION.