NEU_UNKNOWN_PROG

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-25 for NEU_UNKNOWN_PROG manufactured by Medtronic Neuromodulation.

Event Text Entries

[39208699] Concomitant medical products: product id: 8637-40, serial# (b)(4) implanted: (b)(6) 2013, product type: pump. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[39208700] Information received from a consumer patient with an implanted pump. Indication for use was noted as non-malignant pain and chronic low back pain. It was reported that the patient felt the manufacturer should make it easier for the physician to reach a representative when they "need to correct my pain pump when needed. " the last time the physician was told he had to call back later. Event date, drug(s) in the pump, cause of event, circumstances that led to pump correction, symptoms, interventions, and outcome were not reported. Additional information has been requested, but was not available as of the date of this report.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007566237-2016-01017
MDR Report Key5460234
Date Received2016-02-25
Date of Report2016-01-29
Date Mfgr Received2016-01-29
Date Added to Maude2016-02-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDIANE WOLF
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal55432
Manufacturer Phone7635263987
Manufacturer G1MEDTRONIC NEUROMODULATION
Manufacturer Street7000 CENTRAL AVENUE NE RCW215
Manufacturer CityMINNEAPOLIS MN 55432
Manufacturer CountryUS
Manufacturer Postal Code55432
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameLEGGING, COMPRESSION, NON-INFLATABLE
Product CodeLLK
Date Received2016-02-25
Model NumberNEU_UNKNOWN_PROG
Catalog NumberNEU_UNKNOWN_PROG
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC NEUROMODULATION
Manufacturer Address800 53RD AVE NE MINNEAPOLIS MN 554211200 US 554211200


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-25

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