| Brand Name | PRODIGY MRI IPG, 16CH, RECHARGEABLE |
| Common Device Name | SCS IPG |
| Manufacturer (Section D) |
| ABBOTT MEDICAL |
| 6901 preston rd |
| plano TX 75024 |
|
| Manufacturer (Section G) |
| ABBOTT MEDICAL |
| 6901 preston rd |
|
| plano TX 75024 |
|
| Manufacturer Contact |
|
sara
speyerer
|
| 6901 preston road |
| plano, TX 75024
|
|
9723098000
|
|
| MDR Report Key | 24740495 |
| Report Number | 1627487-2026-01487 |
| Device Sequence Number | 19723712 |
| Product Code |
LGW
|
| UDI-Device Identifier | 05415067017093 |
| UDI-Public | (01)05415067017093(10)6847309(17)210212 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | BR |
| PMA/510(K) Number | P010032 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2020 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
03/31/2026 |
| 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? |
No
|
| Operator of Device |
Health Professional
|
| Device Expiration Date | 02/12/2021 |
| Device Model Number | 3772 |
| Device Catalogue Number | 3772 |
| Device Lot Number | 6847309 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/03/2026 |
| Initial Report FDA Received Date | 03/31/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/13/2019 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|