inforMED
OtherLHG

NA

Received Mar 10, 2000 · Event occurred Dec 13, 1999

Report 2182207-2000-00090 · MDR key 269291

Device

Generic name

Custom Reurostimulation Lead

Manufacturer

Medtronic, Inc.

Model number

3986ILC

Catalog number

NA

Lot number

N23848

Product problems

  • Electrode(s), fracture of
  • Explanted
  • Lead(s), breakage of
  • Replace
  • Malfunction

Patient

38 YR

  • Surgical procedure, repeated
  • Surgical procedure

Narrative

Description of Event or Problem

ON 3/1/2000, THE PT'S ATTORNEY NOTIFIED THE MFR THAT ATTORNEY HAS BEEN RETAINED TO REPRESENT THE INTERESTS OF THE PT FOR THE MALFUNCTIONING OF A CERVICAL SPINAL CORD STIMULATOR...ENCLOSING A COPY OF THE 2/13/1999 OPERATIVE REPORT FOR BROKEN ELECTRODE OF SPINAL CORD STIMULATOR. THE NEUROSTIMULATION LEAD WAS RETURNED TO THE MFR FOR ANALYSIS ON 12/20/1999.