BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDTRONIC

    MDR report key: 1210924 · Received October 23, 2008

    Report

    Report Number
    MW5008740
    Event Type
    Injury
    Date Received
    October 23, 2008
    Date of Event
    October 8, 2008
    Report Date
    October 23, 2008
    Manufacturer
    MEDTRONIC
    Product Code
    LGW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAVE A NEUROSTIMULATOR IMPLANTED IN MY RIGHT HIP. THIS WAS PUT IN FOR THE STARTSTIM RESEARCH BEING CONDUCTED IN 2004. THE RESEARCH HAS ENDED. THIS WAS PUT IN TO HELP STIMULATE CHEST PAIN. AT THE TIME I HAD CHRONIC ANGINA. MY PROBLEM IS THIS STIMULATOR ACCORDING TO MY DR. HAS FALLEN AND IS CAUSING ME TO HAVE SEVERE PAIN FROM A SCIATIC NERVE. THIS CAUSES MY WHOLE RIGHT LEG SEVERE PAIN/NUMBNESS. HE RECOMMENDS THAT THE DEVICE BE REMOVED. I HAVE NOT USED THE DEVICE IN OVER 2 YEARS. DATES OF USE: 2004 TO 2008. DIAGNOSIS OR REASON FOR USE: CHRONIC ANGINA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDTRONIC NEUROSTIMULATOR LGW MEDTRONIC 7425

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Required Intervention