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U.S. Department of Health and Human Services

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

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ST. JUDE MEDICAL - NEUROMODULATION (PUERTO RICO, LLC) PROTÉGÉ MRI IPG; SCS IPG Back to Search Results
Model Number 3771
Medical Device Problem Codes Premature Discharge of Battery (1057); Wireless Communication Problem (3283)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 12/01/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The date of event is estimated.
 
Event or Problem Description
It was reported that the patient experienced charging issues with their ipg, and as a result the ipg became inoperable.Surgical intervention was undertaken wherein the ipg was explanted and replaced.
 
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 received indicates the patient's ipg was operable, but the patient experienced increased recharge burden.
 
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Brand Name
PROTÉGÉ MRI IPG
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 Key25255636
Report Number3006705815-2026-03256
Device Sequence Number5345305
Product Code LGW
UDI-Device Identifier05415067017086
UDI-Public(01)05415067017086(10)5326275(17)171130
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2016
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) 06/08/2026
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 Date11/30/2017
Device Model Number3771
Device Catalogue Number3771
Device Lot Number5326275
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 04/29/2026
Supplement Date Received by Manufacturer05/26/2026
Initial Report FDA Received Date05/22/2026
Supplement Report FDA Received Date06/08/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/14/2015
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 SexFemale
Patient Weight50 KG
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