| Brand Name | Evoke Closed Loop Stimulator (CLS) (US) |
| Common Device Name | SCS IPG |
| Manufacturer (Section D) |
| Saluda Medical Pty Ltd |
| 5 eden park drive |
| macquarie park, nsw - |
| AU - |
|
| Manufacturer (Section G) |
| Saluda Medical Pty Ltd |
| 5 eden park drive |
|
| macquarie park, nsw - |
|
AU
-
|
|
| Manufacturer Contact |
|
sadie
mauser
|
| 5 eden park drive |
| macquarie park, n -
|
|
AU
-
|
|
| MDR Report Key | 50063695 |
| Report Number | 3016111136-2026-00153 |
| Device Sequence Number | 13039168 |
| Product Code |
LGW
|
| UDI-Device Identifier | 09352307001572 |
| UDI-Public | 09352307001572 |
| Combination Product (Y/N) | N |
| Initial Reporter State | FL |
| Initial Reporter Country | US |
| PMA/510(K) Number | P190002 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2025 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Importer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/28/2026 |
| Report Date (Section F) |
07/28/2026 |
| 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 Number | 102901 |
| Device Catalogue Number | 3042 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Distributor Facility Aware Date | 07/02/2026 |
| Event Location |
Hospital
|
| Date Report to Manufacturer | 07/02/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 07/28/2026 |
| 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
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |