MAUDE MDR 9888459

MDR report key
9888459
Report number
1627487-2020-03340
Event key
0
Event type
3
Date of event
2020-03-04
Date received
2020-03-27
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
ANDREA DEITZ
Address
6901 PRESTON ROAD PLANO TX 75024 US
Phone
972-972-9723
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1INFINITY? 7 IMPLANTABLE PULSE GENERATORDBS IPGST. JUDE MEDICAL - NEUROMODULATIONMHY666266627163746R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-270

Event Narratives#

N

Patient 1

THE RESULTS/METHOD AND CONCLUSION CODES ALONG WITH INVESTIGATION RESULTS WILL BE PROVIDED IN THE FINAL REPORT.

D

Patient 1

IT WAS REPORTED THAT THE PATIENT EXPERIENCED INFLAMMATION AT THE IPG SITE AND SIGNS OF INFECTION FOLLOWING THE PERMANENT SCS IMPLANT PROCEDURE. AS SUCH, SURGICAL INTERVENTION TOOK PLACE ON (B)(6) 2020 WHEREIN THE IPG SITE WAS DISINFECTED TO PREVENT INFECTION. ADDITIONALLY, THE PATIENT WAS TREATED WITH INJECTION AND MEDICATION.