| Brand Name | Vercise Genus? |
| Common Device Name | stimulator, electrical, implanted, for parkinsonian tremor |
| Manufacturer (Section D) |
| BOSTON SCIENTIFIC NEUROMODULATION CORPORATION |
| 25155 rye canyon loop |
| valencia CA 91355 |
|
| Manufacturer (Section G) |
| Boston Scientific Corporation |
| cashel road |
|
| clonmel |
|
EI
|
|
| Manufacturer Contact |
|
ricardo
amaro castro
|
| 25155 rye canyon loop |
| valencia, CA 91355
|
|
+1(320)800-7570
|
|
| MDR Report Key | 25124230 |
| Report Number | 3006630150-2026-02983 |
| Device Sequence Number | 18351292 |
| Product Code |
MHY
|
| UDI-Device Identifier | 08714729985051 |
| UDI-Public | (01)08714729985051(17)271112(10)808198 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NV |
| Initial Reporter Country | US |
| PMA/510(K) Number | P150031 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup,Followup,Followup |
| Report Date (Section B) |
09/28/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | DB-1232 |
| Device Catalogue Number | DB-1232 |
| Device Lot Number | 808198 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 04/23/2026 |
| Supplement Date Received by Manufacturer | 06/02/2026 07/10/2026 09/07/2026
|
| Initial Report FDA Received Date | 05/08/2026 |
| Supplement Report FDA Received Date | 06/29/2026 07/31/2026 09/28/2026
|
| Date Device Manufactured | 11/12/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Hospitalization;
Life Threatening;
|
| Patient Age | 77 YR |
| Patient Sex | Female |