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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NEVRO CORP. SENZA; NEVRO SENZA
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NEVRO CORP. SENZA; NEVRO SENZA Back to Search Results
Model Number LEAD1058-50B
Device Problem Detachment of Device or Device Component (2907)
Patient Problem Device Embedded In Tissue or Plaque (3165)
Event Date 02/18/2020
Event Type  malfunction  
Manufacturer Narrative
The manufacturing records were reviewed and no issues were found.The device was not removed.
 
Event Description
It was reported to nevro that an x-ray showed the distal electrode may have detached from the lead.No injuries were sustained by the patient.The physician has not made any plans to remove the lead or electrode.
 
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Brand Name
SENZA
Type of Device
NEVRO SENZA
Manufacturer (Section D)
NEVRO CORP.
1800 bridge parkway
redwood city CA 94065
Manufacturer Contact
catherine aronson
1800 bridge parkway
redwood city, CA 94065
6504333218
MDR Report Key9832956
MDR Text Key192169701
Report Number3008514029-2020-00484
Device Sequence Number1
Product Code LGW
UDI-Device Identifier00813426020022
UDI-Public00813426020022
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P130022
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 03/13/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/14/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date03/22/2019
Device Model NumberLEAD1058-50B
Device Catalogue NumberLEAD1058-50B
Device Lot Number9437231
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received02/18/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/22/2016
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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