MAUDE Adverse Event Report: ST. JUDE MEDICAL - NEUROMODULATION MOBILE CHARGING SYSTEM; SCS CHARGING SYSTEM

Model Number 3711

Device Problem Temperature Problem (3022)

Patient Problem Burning Sensation (2146)

Event Date 02/29/2016

Event Type  Injury  

Manufacturer Narrative

(b)(4).Manufacturer¿s evaluation: corrective and preventive action (capa) investigation was performed.Pocket heating was confirmed.The investigation for (b)(4) associated with heating while charging (pocket heating) concluded that the charger was capable of transferring energy to the ipg at a rate that would cause heating of the ipg and/or charging wand of sufficient elevated temperature to cause pain and burns.The heating while charging was determined to be exacerbated by off-axis charging of shallow implanted ipgs and that all chargers were capable of elevated heating.This charger model was associated with a field correction.

Event Description

Device 1 of 2.Reference mfr report#1627487-2016-03194.The patient reported experiencing pocket heating while recharging.Reportedly, a replacement charger was sent to the patient.Follow up identified the issue resolved with the use of the replacement charging system.Note: the patient has two systems implanted.Please reference mfr report#1627487-2016-01392 regarding an additional system issuue.Concomittant devices: it's undetermined which leads and extensions are associated with this system.On 08/01/2012 st.Jude medical, (b)(4), 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.

• Brand Name: MOBILE CHARGING SYSTEM
• Type of Device: SCS CHARGING SYSTEM
• Manufacturer (Section D): ST. JUDE MEDICAL - NEUROMODULATION; 6901 preston rd; plano TX 75024
• Manufacturer (Section G): ST. JUDE MEDICAL - NEUROMODULATION; 6901 preston rd; plano TX 75024
• MDR Report Key: 5517322
• MDR Text Key: 40926606
• Report Number: 1627487-2016-01393
• Device Sequence Number: 1
• Product Code: GZB
• Combination Product (y/n): N
• PMA/PMN Number: P010032
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer
• Remedial Action: Other
• Type of Report: Initial
• Report Date: 02/29/2016

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 10/28/2012
• Device Model Number: 3711
• Device Lot Number: 3518990
• Was Device Available for Evaluation?: No
• Initial Date Manufacturer Received: 02/29/2016
• Initial Date FDA Received: 03/22/2016
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 10/13/2011
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Removal/Correction Number: 1627487-07262012-001-C
• Patient Sequence Number: 1
• Patient Outcome(s): Other
• Patient Age: 54 YR