FDA Adverse Event Injury Summary report: N

PRECISION?

MDR report key: 22572560 · Received July 22, 2025

Report

Report Number
3006630150-2025-05769
Event Type
Injury
Date Received
July 22, 2025
Date of Event
February 18, 2025
Report Date
April 30, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767688
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK D2B: PRO CODE (PRODUCT CODE): QRB.

Additional Manufacturer Narrative · 0

CORRECTION TO INITIAL MDR IN BLOCK: H6. BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK D2B: PRO CODE (PRODUCT CODE): QRB.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) WOULD NO LONGER CHARGE OR TURN ON DESPITE CYCLE CHARGING ATTEMPTS. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE WAS NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) WOULD NO LONGER CHARGE OR TURN ON DESPITE CYCLE CHARGING ATTEMPTS. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE WAS NOT RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
466095 PRECISION? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1110-02 16277352 08714729767688

Patients

Seq Age Sex Outcome Treatment
1 68 YR Male Required Intervention