inforMED
MalfunctionNAM

URGENT PC NEUROMODULATION SYSTEM LEAD SET

Received Sep 13, 2021 · Event occurred Jul 19, 2021

Report MW5103878 · MDR key 12466867

Device

Generic name

Stimulator, Peripheral Nerve, Non-implanted, For Pelvic Floor Dysfunction

Model number

REF UPC 250-12

Lot number

104641

Product problems

  • Loss of Power

Patient

80 YR

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

WHEN APPLYING THE URGENT PC DEVICE TO THE PATIENT'S PTNS NEEDLE IN HER ANKLE THE URGENT PC DEVICE ONLY ALLOWED THE USER TO GO UP TO LEVEL 4 AND THEN TURNED OFF AUTOMATICALLY. DEVICE WAS PLUGGED IN AND BOTH LEADS DID THE SAME THING. WHEN SWITCHED TO AN ENTIRELY DIFFERENT LEAD, IT WORKED COMPLETELY FINE. FDA SAFETY REPORT ID# (B)(4).