MAUDE Adverse Event Report: SALUDA MEDICAL PTY LTD EVOKE CLOSED LOOP STIMULATOR (CLS) (US); SCS IPG

Model Number	101144
Medical Device Problem Codes	Adverse Event Without Identified Device or Use Problem (2993); Insufficient Device Problem Information (3190)
Health Effect - Clinical Codes	Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/18/2025
Type of Reportable Event	Death
Event or Problem Description
A saluda representative was notified by a study coordinator that the patient had passed away.The study coordinator reported that, upon attempting to contact the patient to schedule their 6-month follow-up visit, they were informed of the patient¿s death.Additional details regarding the event have not been provided to saluda.
Event or Problem Description
The patient reported feeling unwell and was hospitalized on (b)(6) 2025, subsequently requiring transfer to the intensive care unit for management of septic shock.The patient required endotracheal intubation and mechanical ventilation.A pulse was not detected in the left radial artery.A chest ct revealed extensive bilateral multifocal pneumonia.The patient¿s clinical condition continued to deteriorate, and she was transferred to (b)(6) hospital for higher level care.On arrival, she remained tachycardic and hypotensive, with severe metabolic and respiratory acidosis.A repeat chest ct revealed right lower lobe and partial right upper lobe pneumonia.The patient remained intubated and sedated.The patient ultimately experienced cardiac arrest, which was determined to be the cause of death.The physician reported primary cause of death as cardiac arrest with secondary cause as septic shock (hcc), acute kidney injury, right lower lobe pneumonia, uti, nodule of left lung, hypotension, leukocytosis, lactic acidosis, and diminished pulse in upper extremity.The patient was enrolled in the neural panel study, which is a post-market study.
Additional Manufacturer Narrative
Correction: section b - date of death.Section e - initial reporter.Additional information: section a - sex, date of birth.Section b - date of event; event description; medical history/preexisting condition.Section f - uf/importer event awareness date; type of report; adverse event problem.

• Brand Name: EVOKE CLOSED LOOP STIMULATOR (CLS) (US)
• Common Device Name: SCS IPG
• Manufacturer (Section D): SALUDA MEDICAL PTY LTD; 5 eden park drive; macquarie park, nsw 2113 ; AU 2113
• MDR Report Key: 24246669
• Report Number: 3016111136-2026-00023
• Device Sequence Number: 8402820
• Product Code: LGW
• UDI-Device Identifier: 09352307001565
• UDI-Public: 09352307001565
• Combination Product (Y/N): N
• Initial Reporter State: OH
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Serviced by Third Party (Y/N): N
• Reporter Type: Importer
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 03/10/2026
• Report Date (Section F): 01/14/2026

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 Date: 08/15/2025
• Device Model Number: 101144
• Device Catalogue Number: 3002
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Distributor Facility Aware Date: 02/09/2026
• Event Location: Hospital
• Date Report to Manufacturer: 01/14/2026
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: Not provided
• Supplement Date Received by Manufacturer: 02/09/2026
• Initial Report FDA Received Date: 02/03/2026
• Supplement Report FDA Received Date: 03/10/2026
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: A
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Death
• Patient Age: 74 YR
• Patient Sex: Female