FDA Adverse Event Injury Summary report: N

PRECISION®

MDR report key: 2252028 · Received September 16, 2011

Report

Report Number
3006630150-2011-01414
Event Type
Injury
Date Received
September 16, 2011
Date of Event
August 18, 2011
Report Date
August 18, 2011
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
PMA / PMN Number
030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, AU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION RECEIVED INDICATED THAT THE DEVICE WAS EXPLANTED AND A NEW IPG WAS IMPLANTED. THE PATIENT WAS REPORTEDLY DOING FINE AFTER THE PROCEDURE. A RETURNED PRODUCT ANALYSIS INDICATED THAT THE COMPLAINT WAS CONFIRMED. THE BATTERY DEPLETION RATE AT THE TIME OF THE ANALYSIS MEASURED ABOVE THE LIMIT, AND THE SLEEP CURRENT MEASURED AT A RATE EXCEEDING THE TYPICAL RANGE. VH TO GROUND MEASURED LOW IMPEDANCE, WHICH IS INDICATION OF DAMAGE TO ANALOG IC. THE DEVICE PROFILE INDICATES THAT THE DEVICE HAS BEEN DEPLETING AT SOME POINT AFTER THE IMPLANT PROCEDURE. THE IPG PASSED ALL OTHER FUNCTIONAL TESTS. THE TIMING OF THE ANOMALY SUGGESTS THAT THE IPG MAY HAVE BEEN EXPOSED TO AN ENVIRONMENT SIMILAR TO THE ELECTROCAUTERY USAGE DURING THE IMPLANT PROCEDURE.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT HAS TO CHARGE THEIR IPG MORE FREQUENTLY. BSN REPRESENTATIVE ANALYZED THE PATIENT'S DATABASE AND CONFIRMED PREMATURE BATTERY DEPLETION. IT HAS BEEN RECOMMENDED THAT THE PATIENT'S IPG BE REPLACED.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT HAS TO CHARGE THEIR IPG MORE FREQUENTLY. BSN REPRESENTATIVE ANALYZED THE PATIENT'S DATABASE AND CONFIRMED PREMATURE BATTERY DEPLETION. IT HAS BEEN RECOMMENDED THAT THE PATIENT'S IPG BE REPLACED.

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 Required Intervention