FDA Adverse Event
Malfunction
Summary report: N
PRECISION
MDR report key: 1030619
·
Received April 16, 2008
Report
- Report Number
- 2029203-2008-00234
- Event Type
- Malfunction
- Date Received
- April 16, 2008
- Date of Event
- March 20, 2008
- Report Date
- March 17, 2008
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORP.
- Product Code
- LGW
- PMA / PMN Number
- P030017
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
THE PT REPORTED INTERMITTENT STIMULATION, AFTER UNDERGOING A SPINAL FUSION. IT WAS REPORTED THAT ELECTROCAUTERY WAS USED DURING THE SPINAL FUSION. THE SURGEON DECIDED TO REPLACE THE PT'S SYSTEM. DEVICE LABELING WARNS AGAINST THE USE OF MONOPOLAR ELECTROCAUTERY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRECISION | SPINAL CORD STIMULATOR | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORP. | SC-1110 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | EXPLANTED:| SC-2138-70| EXPLANTED:| SC-2138-70 |