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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) IPG, 7.5AH, SCS; SCS IPG

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ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) IPG, 7.5AH, SCS; SCS IPG Back to Search Results
Model Number 3672
Medical Device Problem Codes Premature Discharge of Battery (1057); Insufficient Device Problem Information (3190)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 02/18/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Date of event is estimated.The results/method and conclusion codes along with investigation results will be provided in the final report.
 
Event or Problem Description
It was reported that the patient¿s ipg had reached end of life.It is unknown if this occurred prematurely.As a result, surgical intervention may be undertaken to address the issue.
 
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
Additional information indicates surgical intervention was undertaken on (b)(6) 2026 wherein the ipg was replaced to address the issue.
 
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Brand Name
IPG, 7.5AH, SCS
Common Device Name
SCS 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 Key24552173
Report Number3006705815-2026-01430
Device Sequence Number5597423
Product Code LGW
UDI-Device Identifier05415067046406
UDI-Public(01)05415067046406(10)A000130759(17)240911
Combination Product (Y/N)N
Initial Reporter StateAZ
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2026
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) 04/06/2026
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 Date09/11/2024
Device Model Number3672
Device Catalogue Number3672
Device Lot NumberA000130759
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 02/18/2026
Supplement Date Received by Manufacturer03/24/2026
Initial Report FDA Received Date03/09/2026
Supplement Report FDA Received Date04/06/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/12/2022
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 LEAD
Outcome Attributed to Adverse Event Other;
Patient SexMale
Patient Weight125 KG
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