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 |