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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) INFINITY¿ 5 IMPLANTABLE PULSE GENERATOR; DBS IPG

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ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) INFINITY¿ 5 IMPLANTABLE PULSE GENERATOR; DBS IPG Back to Search Results
Model Number 6660
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code Movement Disorder (4412)
Date of Event 10/08/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported the patient's ipg was inoperable.Surgical intervention was undertaken during which the ipg was explanted and replaced to address the issue.
 
Additional Manufacturer Narrative
Date of event is estimated 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 incident could not be conclusively determined.
 
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Brand Name
INFINITY¿ 5 IMPLANTABLE PULSE GENERATOR
Common Device Name
DBS IPG
Manufacturer (Section D)
ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC)
lot a interior - #2 street km 67.5
santana industrial park
arecibo PR 00612
Manufacturer (Section G)
ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC)
lot a interior - #2 street km 67.5
santana industrial park
arecibo PR 00612
Manufacturer Contact
sara speyerer
6901 preston road
plano, TX 75024
9723098000
MDR Report Key23414167
Report Number3006705815-2025-18985
Device Sequence Number10407790
Product Code MHY
UDI-Device Identifier05415067030016
UDI-Public(01)05415067030016(10)A000159982(17)260702
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
P140009
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 10/29/2025
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? Yes
Operator of Device Health Professional
Device Expiration Date07/02/2026
Device Model Number6660
Device Catalogue Number6660
Device Lot NumberA000159982
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 10/08/2025
Initial Report FDA Received Date10/29/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/02/2024
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
DBS BURR HOLE CAP X2.; DBS LEADX2.
Outcome Attributed to Adverse Event Other;
Patient SexMale
Patient Weight86 KG
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