FDA Adverse Event
Injury
Summary report: N
PRECISION
MDR report key: 1243696
·
Received November 25, 2008
Report
- Report Number
- 2029203-2008-00881
- Event Type
- Injury
- Date Received
- November 25, 2008
- Date of Event
- August 1, 2005
- Report Date
- October 18, 2008
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- PMA / PMN Number
- P030017
- Removal / Correction Number
- 2029203-09/19/08-001-R
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
A REPORT WAS RECEIVED THAT A PATIENT HAD RECEIVED BURNS FROM HIS CHARGER. THE FIRST BURN HAD BLISTERS AND THE SECOND AND THIRD BURN LEFT REDNESS AT THE BATTERY SITE. THE BURNS HAVE SINCE HEALED AND THE PATIENT IS REPORTEDLY DOING WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRECISION | SPINAL CORD STIMULATOR | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-5300 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |