MAUDE Adverse Event Report: NEVRO CORP. SENZA; NEVRO SENZA

Model Number NIPG2500

Device Problem Adverse Event Without Identified Device or Use Problem (2993)

Patient Problem Sepsis (2067)

Event Date 10/11/2020

Event Type  Injury  

Manufacturer Narrative

The manufacturing and sterilization records were reviewed, and no non-conformities were found related to the nature of the complaint.The device was not removed.

Event Description

It was reported to nevro that the patient acquired an infection resulting in sepsis.The patient was hospitalized and given antibiotics.Nevro attempted to obtain additional information regarding the nature of the infection, but none was available.The patient has recovered without sequelae and continues to use therapy with effective pain relief.

Manufacturer Narrative

This report is to update sections based on new information received by nevro.The device was not returned.

Event Description

Follow-up indicated that the device was removed.There have been no reports of further complications regarding this event.

• 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 Key: 10778838
• MDR Text Key: 214351429
• Report Number: 3008514029-2020-00776
• Device Sequence Number: 1
• Product Code: LGW
• UDI-Device Identifier: 00813426020602
• UDI-Public: 00813426020602
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: P130022
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative
• Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date: 09/07/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 11/03/2020
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Expiration Date: 01/16/2022
• Device Model Number: NIPG2500
• Device Catalogue Number: NIPG2500
• Device Lot Number: 9446366
• Was Device Available for Evaluation?: No
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 10/14/2020
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 01/16/2020
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Other