FDA Adverse Event Injury Summary report: N

PRECISION?

MDR report key: 23522585 · Received November 11, 2025

Report

Report Number
3006630150-2025-10225
Event Type
Injury
Date Received
November 11, 2025
Date of Event
January 1, 2021
Report Date
February 5, 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
TN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED OVER THE LAST SEVERAL YEARS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. BLOCK D2B: LGW, QRB.

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED OVER THE LAST SEVERAL YEARS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. BLOCK D2B: LGW, QRB.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING FREQUENT IMPLANTABLE PULSE GENERATOR (IPG) CHARGING. THE PATIENT UNDERWENT AN IMPLANTABLE PULSE GENERATOR (IPG) REPLACEMENT PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. OLD BATTERY EXPLAINED AND KEPT BY FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING FREQUENT IMPLANTABLE PULSE GENERATOR (IPG) CHARGING. THE PATIENT UNDERWENT AN IMPLANTABLE PULSE GENERATOR (IPG) REPLACEMENT PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. OLD BATTERY EXPLAINED AND KEPT BY FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
492947 PRECISION? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1110-02 13451951 08714729767688

Patients

Seq Age Sex Outcome Treatment
1 59 YR Male Required Intervention