FDA Adverse Event Injury Summary report: N

PRECISION®

MDR report key: 2072160 · Received April 28, 2011

Report

Report Number
3006630150-2011-00618
Event Type
Injury
Date Received
April 28, 2011
Date of Event
April 1, 2011
Report Date
April 1, 2011
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
PMA / PMN Number
030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

A RETURNED PRODUCT ANALYSIS INDICATED THAT THE COMPLAINT OF THE PREMATURE BATTERY DEPLETION OF IPG HAS BEEN CONFIRMED. THE ANALOG IC (AIC-U1) WAS DAMAGED. THE BATTERY DEPLETION RATE WITH STIMULATION OFF EXCEEDED THE TYPICAL BATTERY DEPLETION RATE. THE AIC-U1 DAMAGE RESULTED IN THE RAPID BATTERY DEPLETION RATE OF THE IPG. MONOPOLAR ELECTROCAUTERY IS A KNOWN SOURCE OF HIGH-VOLTAGE TRANSIENT SIGNAL AND CURRENT LABELING WARNS AGAINST THE USE OF MONOPOLAR ELECTROCAUTERY (REFER TO PHYSICIAN'S IMPLANT MANUAL (B)(4)).

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT UNDERWENT AN IPG REVISION DUE TO CHARGING DIFFICULTIES. A DATABASE ANALYSIS CONFIRMED PREMATURE BATTERY DEPLETION. THE PHYSICIAN REPLACED HE IPG AND THE PATIENT WAS REPORTEDLY DOING FINE.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT UNDERWENT AN IPG REVISION DUE TO CHARGING DIFFICULTIES. A DATABASE ANALYSIS CONFIRMED PREMATURE BATTERY DEPLETION. THE PHYSICIAN REPLACED HE IPG AND THE PATIENT WAS REPORTEDLY DOING FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRECISION® SPINAL CORD STIMULATOR LGW BOSTON SCIENTIFIC NEUROMODULATION SC-1110-02 NA

Patients

Seq Age Sex Outcome Treatment
1 45 YR Required Intervention