FDA Adverse Event Malfunction Summary report: N

PRECISION®

MDR report key: 3023707 · Received March 27, 2013

Report

Report Number
3006630150-2013-00553
Event Type
Malfunction
Date Received
March 27, 2013
Date of Event
February 26, 2013
Report Date
February 26, 2013
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
PMA / PMN Number
030017
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

UPDATE TO THE INITIAL MDR IN FIELDS: ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT WAS EXPLANTED AND IS REPORTEDLY DOING WELL.

Additional Manufacturer Narrative · 1

DEVICE EVALUATION INDICATED THAT THE IPG PASSED OPERATIONAL AND PHOTOGRAPHIC IMAGING TESTS PERFORMED. THE COMPLAINT OF DIFFICULTY CHARGING WAS NOT CONFIRMED. CHARGE PROFILE REVEALED VARIOUS TIMES OF ERRATIC COUPLING/POOR ALIGNMENT OF THE CHARGER TO THE IPG. THE CHARGE CURRENT SOMETIMES REACHED THE MAXIMUM, AND INDICATES GOOD ALIGNMENT, BUT THIS OPTIMAL ALIGNMENT WAS NOT CONSISTENT. THE REASON FOR THE ERRATIC COUPLING IS UNKNOWN. BATTERY PROFILE REVEALED A MAXIMUM DEPLETION RATE WITHIN THE EXPECTED RANGE. DEVICE EXHIBITS NORMAL CHARGING AND DISCHARGING CHARACTERISTICS. DURING ANALYSIS IT WAS DETERMINED THE BATTERY EXHIBITED IMPEDANCE OUT OF THE NORMAL RANGE. THIS WAS DUE TO CONFIRMED AUTOCLAVE USE AFTER THE DEVICE WAS EXPLANTED, AND IS NOT CONSIDERED A FAILURE.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT HAS TO FREQUENTLY CHARGE THEIR IMPLANT. A BSN REPRESENTATIVE ANALYZED THE DATABASE AND CONFIRMED PREMATURE BATTERY DEPLETION. AN IPG REPLACEMENT HAS BEEN RECOMMENDED.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT HAS TO FREQUENTLY CHARGE THEIR IMPLANT. A BSN REPRESENTATIVE ANALYZED THE DATABASE AND CONFIRMED PREMATURE BATTERY DEPLETION. AN IPG REPLACEMENT HAS BEEN RECOMMENDED.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT HAS TO FREQUENTLY CHARGE THEIR IMPLANT. A BSN REPRESENTATIVE ANALYZED THE DATABASE AND CONFIRMED PREMATURE BATTERY DEPLETION. AN IPG REPLACEMENT HAS BEEN RECOMMENDED.

Description of Event or Problem · 1

A REPORT WAS RECEIVED THAT THE PATIENT HAS TO FREQUENTLY CHARGE THEIR IMPLANT. A BSN REPRESENTATIVE ANALYZED THE DATABASE AND CONFIRMED PREMATURE BATTERY DEPLETION. AN IPG REPLACEMENT HAS BEEN RECOMMENDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
126068 PRECISION® SPINAL CORD STIMULATOR LGW BOSTON SCIENTIFIC NEUROMODULATION SC-1110-02 NA

Patients

Seq Age Sex Outcome Treatment
1