BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECISION

    MDR report key: 1071698 · Received July 9, 2008

    Report

    Report Number
    2029203-2008-00451
    Event Type
    Malfunction
    Date Received
    July 9, 2008
    Date of Event
    June 19, 2008
    Report Date
    June 19, 2008
    Manufacturer
    ADVANCED SCIENTIFIC NEUROMODULATION CORPORATION
    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 ISSUES BETWEEN THE IMPLANT AND EXTERNAL EQUIPMENT. THE SURGEON HAS DECIDED TO REPLACE THE IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISION SPINAL CORD STIMULATOR LGW ADVANCED SCIENTIFIC NEUROMODULATION CORPORATION SC-1110 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK