BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC

    MDR report key: 1031636 · Received April 18, 2008

    Report

    Report Number
    MW5006320
    Event Type
    Injury
    Date Received
    April 18, 2008
    Date of Event
    March 1, 2008
    Report Date
    April 18, 2008
    Manufacturer
    MEDTRONIC
    Product Code
    LGW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PT STATES THAT THE SPINAL CORD STIMULATOR WILL NOT HOLD A CHANGE AND LOSES POWER. PT LOST MOTOR FUNCTION OF HER LIMBS AND HAS FALLEN WHEN THIS HAPPENS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC SPINAL CORD STIMULATOR LGW MEDTRONIC 7425

    Patients

    Seq Age Sex Outcome Treatment
    1 *