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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: St. Jude Medical - Neuromodulation (Puerto Rico, LLC) Prodigy MRI IPG, 16CH, Rechargeable; SCS IPG

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St. Jude Medical - Neuromodulation (Puerto Rico, LLC) Prodigy MRI IPG, 16CH, Rechargeable; SCS IPG Back to Search Results
Model Number 3772
Medical Device Problem Code Wireless Communication Problem (3283)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 08/31/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient's ipg became unable to communicate with external devices.As a result, surgical intervention may be undertaken to address the issue.
 
Additional Manufacturer Narrative
Date of event is estimated.
 
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Brand Name
Prodigy MRI IPG, 16CH, Rechargeable
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
+1(972)309-8000
MDR Report Key50916626
Report Number3006705815-2026-06081
Device Sequence Number12206656
Product Code LGW
UDI-Device Identifier05415067017093
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2017
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/28/2026
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 Expiration Date01/10/2019
Device Model Number3772
Device Catalogue Number3772
Device Lot NumberA000034322
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 08/31/2026
Initial Report FDA Received Date09/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/10/2017
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 ANCHOR (x2); SCS LEAD (x2)
Outcome Attributed to Adverse Event Other;
Patient SexMale
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