FDA Adverse Event Injury Summary report: N

PRECISION?

MDR report key: 23903407 · Received December 28, 2025

Report

Report Number
3006630150-2025-11691
Event Type
Injury
Date Received
December 28, 2025
Date of Event
October 9, 2025
Report Date
February 20, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767688
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) WAS NO LONGER FUNCTIONING AS INTENDED. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED IPG WAS NOT RETURNED AS IT WAS DISCARDED BY THE MEDICAL FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) WAS NO LONGER FUNCTIONING AS INTENDED. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED IPG WAS NOT RETURNED AS IT WAS DISCARDED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2138547 PRECISION? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1110-02 14594604 08714729767688

Patients

Seq Age Sex Outcome Treatment
1 50 YR Female Required Intervention