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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 IPG

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ABBOTT MEDICAL EON MINI IPG, 16-CHANNEL RECHARGEABLE; SCS IPG Back to Search Results
Model Number 3788
Medical Device Problem Code Improper or Incorrect Procedure or Method (2017)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 02/01/2024
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient did not charge their ipg as recommended and the ipg became unable to communicate with external devices.As a result, surgical intervention was undertaken on (b)(6) 2024 wherein the ipg was explanted and replaced to address the issue.
 
Additional Manufacturer Narrative
Date of event is estimated.
 
Additional Manufacturer Narrative
The patient reported failing to charge their implant properly to abbott.The device has not been returned for error analysis.A review of documentation supplied with the implant states that the implant must be charged every 30 days to avoid battery depletion.Based on the information received, the cause of the reported incident is consistent with user error.
 
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Brand Name
EON MINI IPG, 16-CHANNEL 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
heidi syndergaard
6901 preston road
plano, TX 75024
9723098000
MDR Report Key19779626
Report Number1627487-2024-09830
Device Sequence Number8278371
Product Code LGW
UDI-Device Identifier05415067017307
UDI-Public(01)05415067017307(10)3258996(17)121228
Combination Product (Y/N)N
Initial Reporter StateAL
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) 10/29/2024
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 Date12/28/2012
Device Model Number3788
Device Catalogue Number3788
Device Lot Number3258996
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 06/25/2024
Supplement Date Received by Manufacturer10/21/2024
Initial Report FDA Received Date07/18/2024
Supplement Report FDA Received Date10/29/2024
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/01/2010
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 ANCHOR (X2); SCS LEAD (X2)
Outcome Attributed to Adverse Event Other;
Patient SexMale
Patient Weight91 KG
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