It was reported that the patient is complaining of pain over the incision site.The discomfort occurs when the patient turns her neck or when the neck is in a certain position.The physician initially reported the pain is not related to the vns however x-rays were taken and reviewed.Diagnostics were reported to be within normal limits and no dosing changes were made that would contribute to the pain.There were no reported falls or anything out of the ordinary that would have caused pain per the patient.X-rays were reviewed.The connector pin can be seen coming through the second connector block.The filter feedthrough wires were confirmed to be intact.The lead was observed in the patient¿s neck appeared to be routed toward the patient¿s left chest.A strain relief loop and bend were present.The lead wire bodies are aligned parallel to each other after the strain relief loop.Two tie downs were used; one appeared to be present on the lead before the strain relief loop in the neck and one was used on the bend.The lead wires appeared intact at the connector pins.No gross fractures or discontinuities and no sharp angles were observed in the lead portion that could be visualized.The patient was then referred for generator replacement due to the battery being at 25%.The notes from the physician state on interrogation and imaging there are no lead impingements.Further information was received that the surgery is also exploratory for the keloids and pain reported.Information was received that the patient's device was explanted and replaced due to prophylactic reason per the implant form.The device was reportedly discarded and therefore not received into analysis to date.No additional relevant information has been received to date.
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