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