FDA Adverse Event Injury Summary report: N

PRECISION

MDR report key: 1241178 · Received November 20, 2008

Report

Report Number
2029203-2008-00978
Event Type
Injury
Date Received
November 20, 2008
Date of Event
October 27, 2008
Report Date
October 27, 2008
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORP
Product Code
LGW
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE EXPLANTED MATERIAL WILL NOT BE RETURNED AS IT WAS DISCARDED BY THE MEDICAL FACILITY.

Description of Event or Problem · 1

A COMPLAINT OF DIFFICULTY CHARGING WAS REC'D. THE PT UNDERWENT A POCKET REVISION DUE TO THE BATTERY BEING TOO DEEP. THE SURGEON DECIDED TO MOVE THE POCKET AND REPLACE THE BATTERY. THE PT IS REPORTEDLY DOING WELL.

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 UNK Required Intervention