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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 Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/17/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported the patient¿s ipg had an increased recharge burden, and the patient experienced ineffective stimulation due to a fractured lead.X-rays confirmed the fracture.Surgical intervention took place wherein the patient¿s system was explanted and replaced to address the issue.Second lead was electively replaced.Effective stimulation was restored post-op.
 
Additional Manufacturer Narrative
Date of event is estimated.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 event could not be conclusively determined.
 
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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 Key50932560
Report Number3006705815-2026-06127
Device Sequence Number9597894
Product Code LGW
UDI-Device Identifier05415067017093
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2019
Device Explanted Year2026
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) 09/29/2026
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 Date02/03/2021
Device Model Number3772
Device Catalogue Number3772
Device Lot NumberA000075326
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 09/17/2026
Initial Report FDA Received Date09/29/2026
Date Device Manufactured02/04/2019
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 Anchors x 2; SCS Lead
Outcome Attributed to Adverse Event Other;
Patient SexFemale
Patient Weight169 LB
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