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