FDA Adverse Event Injury Summary report: N

PRECISION?

MDR report key: 23288092 · Received October 15, 2025

Report

Report Number
3006630150-2025-08781
Event Type
Injury
Date Received
October 15, 2025
Date of Event
August 1, 2025
Report Date
February 7, 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
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK D2B PRO CODE (PRODUCT CODE): QRB.

Additional Manufacturer Narrative · 0

BLOCK D2B PRO CODE (PRODUCT CODE): QRB.

Additional Manufacturer Narrative · 0

BLOCK D2B PRO CODE (PRODUCT CODE): QRB.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A LOSS OF THERAPY, AND DIFFICULTY CHARGING OF THE IMPLANTABLE PULSE GENERATOR (IPG) OF THE SPINAL CORD STIMULATOR (SCS) SYSTEM, WHICH WAS FULLY DEPLETED. THE PATIENT UNDERWENT A REVISION PROCEDURE IN WHICH THE IPG WAS REPLACED AND IS DOING WILL POST OPERATIVELY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A LOSS OF THERAPY, AND DIFFICULTY CHARGING OF THE IMPLANTABLE PULSE GENERATOR (IPG) OF THE SPINAL CORD STIMULATOR (SCS) SYSTEM, WHICH WAS FULLY DEPLETED. THE PATIENT UNDERWENT A REVISION PROCEDURE IN WHICH THE IPG WAS REPLACED, AND IS DOING WILL POST OPERATIVELY. IT WAS ADDITIONALLY REPORTED THAT THE DEVICE WAS RETAINED BY THE FACILITY AND CANNOT BE LOCATED, THEREFORE THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A LOSS OF THERAPY, AND DIFFICULTY CHARGING OF THE IMPLANTABLE PULSE GENERATOR (IPG) OF THE SPINAL CORD STIMULATOR (SCS) SYSTEM, WHICH WAS FULLY DEPLETED. THE PATIENT UNDERWENT A REVISION PROCEDURE IN WHICH THE IPG WAS REPLACED, AND THE IS DOING WILL POST OPERATIVELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
609025 PRECISION? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1110-02 15415896 08714729767688

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention