MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-02-13 for INSPIRE MODEL 3028 IPG 900-007-008 manufactured by Inspire Medical Systems.
[181088720]
Small segment of the stimulation lead has eroded through the skin in the neck between the clavicle and mandible due to surgical wound dehiscence. Treated with antibiotics, fluoroquinolone and topical bactroban. Removal surgery is scheduled.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3007666314-2020-00007 |
| MDR Report Key | 9708500 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2020-02-13 |
| Date of Report | 2020-02-13 |
| Date of Event | 2020-01-16 |
| Report Date | 2005-01-01 |
| Date Reported to FDA | 2005-01-01 |
| Date Reported to Mfgr | 2005-01-10 |
| Date Mfgr Received | 2020-01-16 |
| Date Added to Maude | 2020-02-13 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. JOEL AABERG |
| Manufacturer Street | 5500 WAYZATA BLVD. SUITE 1600 |
| Manufacturer City | GOLDEN VALLEY MN 55416 |
| Manufacturer Country | US |
| Manufacturer Postal | 55416 |
| Manufacturer Phone | 7632057970 |
| Manufacturer G1 | INSPIRE MEDICAL SYSTEMS |
| Manufacturer Street | 5500 WAYZATA BLVD. SUITE 1600 |
| Manufacturer City | GOLDEN VALLEY MN 55416 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 55416 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | INSPIRE MODEL 3028 IPG |
| Generic Name | INSPIRE MODEL 3028 IPG |
| Product Code | MNQ |
| Date Received | 2020-02-13 |
| Model Number | 3028 |
| Catalog Number | 900-007-008 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | INSPIRE MEDICAL SYSTEMS |
| Manufacturer Address | 5500 WAYZATA BLVD. SUITE 1600 GOLDEN VALLEY MN 55416 US 55416 |
| Product Code | --- |
| Date Received | 2020-02-13 |
| Device Sequence No | 101 |
| Device Event Key | 0 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other; 2. Required No Informationntervention | 2020-02-13 |