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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: St. Jude Medical - Neuromodulation (Puerto Rico, LLC) Proclaim Plus Implantable Pulse Generator; SCS IPG

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St. Jude Medical - Neuromodulation (Puerto Rico, LLC) Proclaim Plus Implantable Pulse Generator; SCS IPG Back to Search Results
Model Number 3670
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code Inadequate Pain Relief (2388)
Date of Event 09/14/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the patient¿s ipg had reached end of life.It is unknown if this occurred prematurely.As a result, surgical intervention was undertaken on (b)(6) 2026 wherein ipg was explanted and replaced to address the issue.
 
Additional Manufacturer Narrative
Date of event is estimated.During processing of this complaint, attempts were made to obtain implant information.Further information was requested but not received.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.
 
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Brand Name
Proclaim Plus Implantable Pulse Generator
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 Key50933621
Report Number3006705815-2026-05973
Device Sequence Number15829857
Product Code LGW
UDI-Device Identifier05415067046383
Combination Product (Y/N)N
Initial Reporter StateSC
Initial Reporter CountryUS
PMA/510(K) Number
P010032
Number of Events Summarized1
Summary Report (Y/N)N
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? Yes
Operator of Device Health Professional
Device Expiration Date02/15/2026
Device Model Number3670
Device Catalogue Number3670
Device Lot NumberA000153972
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 09/14/2026
Initial Report FDA Received Date09/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/16/2024
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
Outcome Attributed to Adverse Event Other;
Patient SexFemale
Patient Weight175 LB
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