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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL EON MINI CHARGING SYSTEM IPG CHARGING SYSTEM

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ABBOTT MEDICAL EON MINI CHARGING SYSTEM IPG CHARGING SYSTEM Back to Search Results
Model Number 3721
Device Problem Temperature Problem (3022)
Patient Problem Burning Sensation (2146)
Event Date 11/06/2020
Event Type  Injury  
Manufacturer Narrative
Date of event is estimated. The results/method and conclusion codes along with investigation results will be provided in the final report.
 
Event Description
Related manufacturer reference number:1627487-2020-48437. It was reported that the patient experienced some weight loss followed by pocket heating while using a high energy charger. Reportedly, the ipg ceased functioning following the incident. As a result, surgical intervention may be undertaken in the future.
 
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Brand NameEON MINI CHARGING SYSTEM
Type of DeviceIPG CHARGING SYSTEM
Manufacturer (Section D)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer (Section G)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer Contact
ronnie shalev
6901 preston road
plano, TX 75024
9723098000
MDR Report Key10928244
MDR Text Key218958835
Report Number1627487-2020-48438
Device Sequence Number1
Product Code LGW
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P010032
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,consum
Reporter Occupation
Remedial Action Other
Type of Report Initial,Followup,Followup,Followup
Report Date 03/01/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/01/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator
Device Expiration Date04/28/2011
Device Model Number3721
Device Catalogue Number3721
Device Lot Number3111856
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Event Location No Information
Date Manufacturer Received02/28/2021
Was Device Evaluated by Manufacturer? No
Date Device Manufactured04/26/2010
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Invalid Data
Removal/Correction Number1627487/07/26/2012/001-C

Patient Treatment Data
Date Received: 12/01/2020 Patient Sequence Number: 1
Treatment
SCS IPG
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