FDA Adverse Event Injury Summary report: N

PRECISION®

MDR report key: 2120255 · Received June 10, 2011

Report

Report Number
3006630150-2011-00887
Event Type
Injury
Date Received
June 10, 2011
Date of Event
May 10, 2011
Report Date
May 10, 2011
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
PMA / PMN Number
030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE EXPLANTED IPG PASSED VISUAL, PHOTOGRAPHIC IMAGING AND PERFORMANCE TESTS DONE. THE COMPLAINT OF THE PREMATURE BATTERY DEPLETION OF THE IPG HAS BEEN CONFIRMED. THE BATTERY DEPLETION RATE WITH STIMULATION OFF MEASURED EXCEEDS THE TYPICAL BATTERY DEPLETION RATE. THE MICROCONTROLLER (U6), CHARGING IC (U2), CAPACITOR C22, COUPLING CAPACITORS THAT ARE ACROSS VBAT AND VDD WERE ISOLATED AND REMOVED FROM THE CIRCUIT, BUT THE SLEEP CURRENT REMAINED HIGH. THE ROOT CAUSE OF THE PREMATURE BATTERY DEPLETION IS UNKNOWN.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT'S IPG IS NOT HOLDING A CHARGE. THE PATIENT'S DATABASE WAS ANALYZED AND PREMATURE BATTERY DEPLETION WAS CONFIRMED. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE AND IS DOING WELL.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT'S IPG IS NOT HOLDING A CHARGE. THE PATIENT'S DATABASE WAS ANALYZED AND PREMATURE BATTERY DEPLETION WAS CONFIRMED. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE AND IS DOING WELL.

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 41 YR Required Intervention