| Brand Name | INFINITY¿ 7 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 Key | 24757488 |
| Report Number | 3006705815-2026-02034 |
| Device Sequence Number | 15646332 |
| Product Code |
MHY
|
| UDI-Device Identifier | 05415067030023 |
| UDI-Public | (01)05415067030023(10)A000142391(17)250511 |
| Combination Product (Y/N) | N |
| Initial Reporter State | FL |
| Initial Reporter Country | US |
| PMA/510(K) Number | P140009 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2023 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Remedial Action |
Notification,Other,Recall |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/14/2026 |
| 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? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Expiration Date | 05/11/2025 |
| Device Model Number | 6662 |
| Device Catalogue Number | 6662 |
| Device Lot Number | A000142391 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 03/20/2026 |
| 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 | 03/11/2026 |
| Supplement Date Received by Manufacturer | 06/25/2026
|
| Initial Report FDA Received Date | 04/01/2026 |
| Supplement Report FDA Received Date | 07/14/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 05/12/2023 |
| 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 Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | DBS BURR HOLE CAP; DBS EXTENSION; DBS LEAD |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |
| Patient Weight | 76 KG |