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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 Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/09/2024
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported the patient¿s ipg had an increased recharge burden.As such, surgical intervention may be pending to address the issue.
 
Additional Manufacturer Narrative
Reporter phone number (b)(6).Date of the event is estimated.
 
Additional Manufacturer Narrative
A patient experiencing a recharge burden was reported to abbott.The physician was evaluating the possibility of replacing the ipg.The patient is awaiting judicial authorization to make the exchange, which is expected to take 6 months.Since nothing was scheduled at the time, the rep was informed the record would be closed and reopened as needed.The results of the investigation are inconclusive as the device was not returned for evaluation.Based on the information received, a single definitive root cause for the issue encountered was unable to be conclusively determined.Additionally, the device history record of the device was reviewed to confirm that all manufacturing steps were completed and there were no non-conformances noted that could have contributed to this issue.
 
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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 Key19975731
Report Number1627487-2024-10391
Device Sequence Number8543564
Product Code LGW
UDI-Device Identifier05415067017307
UDI-Public(01)05415067017307(10)5589716(17)180228
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2017
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 01/24/2025
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 Date02/28/2018
Device Model Number3788
Device Catalogue Number3788
Device Lot Number5589716
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 07/15/2024
Supplement Date Received by Manufacturer01/23/2025
Initial Report FDA Received Date08/13/2024
Supplement Report FDA Received Date01/24/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/01/2016
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
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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