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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL EON MINI IPG, 16-CHANNEL RECHARGEABLE; SCS PULSE GENERATOR

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ABBOTT MEDICAL EON MINI IPG, 16-CHANNEL RECHARGEABLE; SCS PULSE GENERATOR Back to Search Results
Model Number 3788
Medical Device Problem Code Wireless Communication Problem (3283)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 01/10/2024
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient's ipg was inoperable.It was noted that the patient's system has not been operable since 2017.Surgical intervention may take place at a later date to address the issue.
 
Additional Manufacturer Narrative
Section a4: during processing of this incident, attempts were made to obtain patient weight.Further information was requested but not received.Section b3: event date is estimated.
 
Event or Problem Description
Additional information was received indicating that the patient underwent surgical intervention on (b)(6) 2024 wherein the patient's ipg was explanted, replaced, and therapy was restored.
 
Additional Manufacturer Narrative
A patient experiencing an inoperable ipg was reported to abbott.The patient ipg was explanted and replaced.Therapy was restored.The results of the investigation are inconclusive since the device was not returned for analysis.Based on the information received, the cause of the reported event is consistent with the battery reaching end of life.
 
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Brand Name
EON MINI IPG, 16-CHANNEL RECHARGEABLE
Common Device Name
SCS PULSE GENERATOR
Manufacturer (Section D)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer (Section G)
ABBOTT MEDICAL
6901 preston rd
plano TX 75024
Manufacturer Contact
heidi syndergaard
6901 preston road
plano, TX 75024
9723098000
MDR Report Key18610593
Report Number1627487-2024-00540
Device Sequence Number7416806
Product Code LGW
UDI-Device Identifier05415067019554
UDI-Public05415067019554
Combination Product (Y/N)N
Initial Reporter StateOR
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2011
Device Explanted Year2024
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/26/2024
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 Date07/28/2013
Device Model Number3788
Device Lot Number3450404
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 01/10/2024
Supplement Date Received by Manufacturer03/13/2024
Initial Report FDA Received Date01/30/2024
Supplement Report FDA Received Date03/26/2024
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured07/26/2011
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 Number1
Concomitant Medical Products
and Therapy/Usage Dates
SCS LEAD (X2).
Outcome Attributed to Adverse Event Other;
Patient SexFemale
Patient Weight54 KG
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