During investigation of the loss of therapy, the patient noted that they had been involved in two automobile accidents and had been treated at an acute facility for neck and back injuries.The patient did not recall the exact dates, however the timing seems to correlate to the timing of therapy loss.It is likely that the trauma from the automobile accidents caused the migration of leads that had previously been in use for almost two years with no issues.No apparent failure or malfunction of the nalu system or its components, cause of migration in this case is external trauma.
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Patient was implanted with a nalu spinal cord stimulator system on (b)(6) 2022.In (b)(6) 2024 the patient notified a nalu representative that there was a loss of stimulation a "couple of months" prior.Xray imaging found that the implanted leads had migrated and were no longer targeting the desired location.A surgical revision was performed on (b)(6) 2024 to replace the migrated leads.During the procedure, handling of the implantable pulse generator (ipg) caused damage and caused the ipg to also require replacement.Original ipg location was on the right lower back.A new pocket was created for the new ipg on the left lower back, slightly left of the midline incision.New leads were placed in the t8-t9 vicinity.
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