EON MINI 3788

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07,99 report with the FDA on 2014-09-04 for EON MINI 3788 manufactured by St. Jude Medical - Neuromodulation.

Event Text Entries

[4719828] Device 1 of 2. Reference mfr report: 1627487-2014-06258. Information provided by the patient's attorney, indicated the patient alleges she experienced overheating and burning at the implant site. Per a legal preservation notice, this patient was explanted (b)(6) 2014. Additional information is needed to clarify the nature of the patient's issues. Sjm was made aware of the issues on (b)(6) 2014, and the patient's scs system was not evaluated by an sjm representative to verify and/or troubleshoot any of the reported issues prior to explant. On (b)(6) 2012 st. Jude medical, neuromodulation division, sent field action letters to patients related to heating while charging and raised awareness of this issue to patients. An increase in prior non-reported heating while charging events and other non-reported events was expected.
Patient Sequence No: 1, Text Type: D, B5


[5714956] Device 1 of 2. Reference mfr report: 1627487-2014-06258. Additional information received identified the patient's scs system was removed on (b)(6)2014. Review of the patient's medical record identified the patient underwent explant to obtain mri to further diagnose patients chronic low back pain and consider other treatment options.
Patient Sequence No: 1, Text Type: D, B5


[12313553] (b)(4). This ipg serial number was included in a field advisory and a field correction. Sjm has limited information related to the patient's medical history and is unable to form an opinion as to the relevancy of the patient's history to the event reported. Sjm defers to the patient's physician regarding medical history.
Patient Sequence No: 1, Text Type: N, H10


[13237436] Sjm has limited information related to the patient's medical history and is unable to form an opinion as to the relevancy of the patient's history to the event reported. Sjm defers to the patient's physician regarding medical history.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1627487-2014-06257
MDR Report Key4093590
Report Source07,99
Date Received2014-09-04
Date of Report2015-03-19
Date of Event2014-03-01
Date Mfgr Received2015-03-19
Device Manufacturer Date2010-01-01
Date Added to Maude2014-09-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKIMBERLY GOODE
Manufacturer Street6901 PRESTON ROAD
Manufacturer CityPLANO TX 75024
Manufacturer CountryUS
Manufacturer Postal75024
Manufacturer Phone9723098541
Manufacturer G1ST. JUDE MEDICAL - NEUROMODULATION
Manufacturer Street6901 PRESTON RD
Manufacturer CityPLANO TX 75024
Manufacturer CountryUS
Manufacturer Postal Code75024
Single Use3
Previous Use Code3
Removal Correction Number1627487-07262012-001-C;
Event Type3
Type of Report3

Device Details

Brand NameEON MINI
Generic NameSCS IPG
Product CodeGZP
Date Received2014-09-04
Model Number3788
Lot Number2929926
Device Expiration Date2012-01-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerST. JUDE MEDICAL - NEUROMODULATION
Manufacturer AddressPLANO TX US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-09-04

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