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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SALUDA MEDICAL PTY LTD DIRECT CLAMP ACTIVE ANCHOR KIT; SCS ANCHOR

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SALUDA MEDICAL PTY LTD DIRECT CLAMP ACTIVE ANCHOR KIT; SCS ANCHOR Back to Search Results
Model Number 104523
Medical Device Problem Codes Inappropriate/Inadequate Shock/Stimulation (1574); Patient Device Interaction Problem (4001); Migration (4003)
Health Effect - Clinical Codes Burning Sensation (2146); Inadequate Pain Relief (2388); Implant Pain (4561)
Date of Event 06/04/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Cls information: brand name: evoke closed loop stimulator (cls) (us) model: 102901 catalog: 3042 lot/batch number: 210d70 udi: (b)(4).
 
Event or Problem Description
A patient implanted with an evoke spinal cord stimulation (scs) system reported a burning sensation at the evoke closed loop stimulator (cls) implant site and a change in stimulation.The burning sensation resolved when stimulation was turned off; however, tenderness at the cls implant site was reported upon palpation.Magnetic resonance imaging (mri) did not identify an infection.No anomalies were observed during the impedance check.X-rays identified lead migration.Reprogramming was attempted but did not resolve the reported issue.A revision procedure was performed, and the evoke scs system was replaced to resolve the reported event.
 
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Brand Name
DIRECT CLAMP ACTIVE ANCHOR KIT
Common Device Name
SCS ANCHOR
Manufacturer (Section D)
SALUDA MEDICAL PTY LTD
5 eden park drive
macquarie park, nsw 2113
AU  2113
MDR Report Key25664613
Report Number3016111136-2026-00139
Device Sequence Number10379384
Product Code LGW
UDI-Device Identifier09352307001817
UDI-Public09352307001817
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Importer
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/30/2026
Report Date (Section F) 06/04/2026
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 Model Number104523
Device Catalogue Number3043
Device Lot Number9018216303
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Distributor Facility Aware Date06/04/2026
Event Location Hospital
Date Report to Manufacturer06/04/2026
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date06/30/2026
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 Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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