FDA Adverse Event
Injury
Summary report: N
PRECISION SPECTRA
MDR report key: 3823891
·
Received May 21, 2014
Report
- Report Number
- 3006630150-2014-01123
- Event Type
- Injury
- Date Received
- May 21, 2014
- Date of Event
- April 24, 2014
- Report Date
- November 12, 2019
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION
- Product Code
- LGW
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT'S SYMPTOMS WERE PUS AND SWELLING.
Description of Event or Problem · 1
A REPORT WAS RECEIVED THAT THE PATIENT HAD DEVELOPED AN INFECTION AT THE IPG SITE. THE PHYSICIAN BELIEVED THAT THE INFECTION WAS PROCEDURE RELATED. THE PATIENT WAS PRESCRIBED CLENDOMYCIN AND AUGMENTIN, AND HAD SWITCHED TO DRY DRESSINGS. THE PATIENT WAS REPORTEDLY DOING WELL AND THE INFECTION HAD CLEARED UP.
Description of Event or Problem · 1
A REPORT WAS RECEIVED THAT THE PATIENT HAD DEVELOPED AN INFECTION AT THE IPG SITE. THE PHYSICIAN BELIEVED THAT THE INFECTION WAS PROCEDURE RELATED. THE PATIENT WAS PRESCRIBED CLENDOMYCIN AND AUGMENTIN, AND HAD SWITCHED TO DRY DRESSINGS. THE PATIENT WAS REPORTEDLY DOING WELL AND THE INFECTION HAD CLEARED UP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 302651 | PRECISION SPECTRA | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION | SC-1132 | 16633521 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR | Required Intervention |