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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) IPG, 5.3AH, SCS, MEDTRONIC HEADER; Stimulator, Spinal-Cord, Totally Implanted For Pain Relief

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ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) IPG, 5.3AH, SCS, MEDTRONIC HEADER; Stimulator, Spinal-Cord, Totally Implanted For Pain Relief Back to Search Results
Model Number 3671
Medical Device Problem Code Wireless Communication Problem (3283)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 01/02/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the ipg became unable to communicate with external devices.It is unknown whether the device was placed into surgery mode.Troubleshooting has been unable to resolve the issue.As a result, surgical intervention may be undertaken to address the issue.
 
Additional Manufacturer Narrative
Date of event is estimated.
 
Additional Manufacturer Narrative
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.
 
Event or Problem Description
A retrospective review indicates this event is connected to the neuromodulation implantable pulse generator (ipg) proclaim¿ scs family, proclaim¿ drg therapy and infinity¿ dbs systems surgery mode advisory notice issued by abbott on (b)(6) 2026.
 
Additional Manufacturer Narrative
The device is included in the neuromodulation implantable pulse generator (ipg) proclaim¿ scs family, proclaim¿ drg therapy and infinity¿ dbs systems surgery mode advisory notice issued by abbott on (b)(6) 2026.
 
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Brand Name
IPG, 5.3AH, SCS, MEDTRONIC HEADER
Common Device Name
Stimulator, Spinal-Cord, Totally Implanted For Pain Relief
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
+1(972)309-8000
MDR Report Key24367104
Report Number3006705815-2026-01021
Device Sequence Number12090999
Product Code LGW
Combination Product (Y/N)N
Initial Reporter StateNV
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2026
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Remedial Action Other,Notification,Recall
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 09/23/2026
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? Yes
Operator of Device Health Professional
Device Expiration Date08/17/2025
Device Model Number3671
Device Catalogue Number3671
Device Lot NumberA000146306
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/22/2026
Supplement Date Received by Manufacturer03/09/2026
04/02/2026
09/01/2026
Initial Report FDA Received Date02/17/2026
Supplement Report FDA Received Date03/10/2026
04/29/2026
09/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/18/2023
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
If action reported to FDA under 21 USC 360i(g), list
FDA-assigned Recall Number or include a statement
1627487-04/02/26-001-C
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexMale
Patient Weight200 LB
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