FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA

MDR report key: 16787526 · Received April 21, 2023

Report

Report Number
3006630150-2023-02178
Event Type
Injury
Date Received
April 21, 2023
Date of Event
March 27, 2023
Report Date
November 14, 2023
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION
Product Code
LGW
UDI-DI
08714729985099
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2317700 MODEL: SC-2317-70 SERIAL: (B)(6) LOT: 7080914 PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2317700 MODEL: SC-2317-70 SERIAL: (B)(6) LOT: 7080403 VISUAL INSPECTION OF THE RETURNED LEADS SC-2317-70 SN (B)(6) AND SN (B)(6) BOTH REVEALED THEY WERE CLEANLY CUT INTO FOUR PIECES NEAR THE DISTAL END OF THE LEADS. THE CLEAN-CUT DAMAGE IS A RESULT OF A TYPICAL EXPLANT PROCEDURE AND IT IS NOT CONSIDERED A FAILURE. NO OTHER ANOMALIES WERE IDENTIFIED ASIDE FROM THE CLEAN CUT. THE RETURNED IPG WAS ANALYZED, PASSED ALL TESTS PERFORMED, AND EXHIBITED NORMAL DEVICE CHARACTERISTICS. A PRODUCT LABELING REVIEW IDENTIFIED THAT THE DEVICES WERE USED PER THE INSTRUCTIONS FOR USE (IFU), PRODUCT LABEL. PER THE IFU, POSSIBLE RISKS OF IMPLANTING A PULSE GENERATOR TO DELIVER SPINAL CORD STIMULATION INCLUDE PROCEDURAL RISKS SUCH AS TEMPORARY PAIN AT THE IMPLANT SITE AND INFECTION.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS; UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL: (B)(4), LOT: 7080914. PRODUCT FAMILY: SCS-LINEAR LEADS; UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL: (B)(4), LOT: 7080403.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317700. MODEL: SC-2317-70. SERIAL: (B)(6). LOT: 7080914. PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317700. MODEL: SC-2317-70. SERIAL: (B)(6). LOT: 7080403. PRODUCT FAMILY: SCS-LEAD FIXATION. UPN: M365SC43180. MODEL: SC-4318. SERIAL: N/A. LOT: 30959003. VISUAL INSPECTION OF THE RETURNED LEADS SC-2317-70 SN (B)(6) AND SN (B)(6) BOTH REVEALED THEY WERE CLEANLY CUT INTO FOUR PIECES NEAR THE DISTAL END OF THE LEADS. THE CLEAN-CUT DAMAGE IS A RESULT OF A TYPICAL EXPLANT PROCEDURE AND IT IS NOT CONSIDERED A FAILURE. NO OTHER ANOMALIES WERE IDENTIFIED ASIDE FROM THE CLEAN CUT. THE RETURNED IPG WAS ANALYZED, PASSED ALL TESTS PERFORMED, AND EXHIBITED NORMAL DEVICE CHARACTERISTICS. EXTERNAL VISUAL INSPECTION OF THE CLIK ANCHOR SC-4318 LOT 30959003 DID NOT REVEAL ANY ANOMALIES. NO ANOMALIES WERE FOUND ON THE CLIK ANCHOR EYELETS. THE CLIK ANCHOR WAS TESTED WITH RELATED LEADS AND THE CLIK ANCHOR SET SCREW WAS TIGHTENED AND LOOSENED ON THE LEAD BODIES WITHOUT ANY ANOMALY. THE CLIK ANCHOR WAS ABLE TO SECURE THE LEADS APPROPRIATELY. A PRODUCT LABELING REVIEW IDENTIFIED THAT THE DEVICES WERE USED PER THE INSTRUCTIONS FOR USE (IFU), PRODUCT LABEL. PER THE IFU, POSSIBLE RISKS OF IMPLANTING A PULSE GENERATOR TO DELIVER SPINAL CORD STIMULATION INCLUDE PROCEDURAL RISKS SUCH AS TEMPORARY PAIN AT THE IMPLANT SITE AND INFECTION.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL: (B)(6), LOT: (B)(6). PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL: (B)(6), LOT: (B)(6).

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317700. MODEL: SC-2317-70. SERIAL: (B)(6). LOT: 7080914. PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317700 MODEL: SC-2317-70. SERIAL: (B)(6). LOT: 7080403.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CLINICAL STUDY PATIENT EXPERIENCED MILD POSTPROCEDURAL COMPLICATIONS OF A SUSPECTED INFECTION OF THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITES. THE PATIENT WAS ADMINISTERED MEDICATION AND THE DEVICE WAS REPROGRAMMED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTED WOUND AREA WAS DEBRIDED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTION PERSISTED AT THE THORACIC INCISION AS OPPOSED TO THE POCKET INCISION. THE PATIENT UNDERWENT A SYSTEM EXPLANT PROCEDURE AND THE EVENT HAS RESOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CLINICAL STUDY PATIENT EXPERIENCED MILD POSTPROCEDURAL COMPLICATIONS OF A SUSPECTED INFECTION OF THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITES. THE PATIENT WAS ADMINISTERED MEDICATION AND THE DEVICE WAS REPROGRAMMED. THE DEVICE REMAINS IMPLANTED IN THE PATIENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CLINICAL STUDY PATIENT EXPERIENCED MILD POSTPROCEDURAL COMPLICATIONS OF A SUSPECTED INFECTION OF THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITES. THE PATIENT WAS ADMINISTERED MEDICATION AND THE DEVICE WAS REPROGRAMMED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTED WOUND AREA WAS DEBRIDED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTION PERSISTED AT THE THORACIC INCISION AS OPPOSED TO THE POCKET INCISION. THE PATIENT UNDERWENT A SYSTEM EXPLANT PROCEDURE AND THE EVENT HAS RESOLVED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE DAY THE PATIENT WAS SCHEDULED FOR THE WOUND CLEANING, IT ULTIMATELY TURNED INTO AN EXPLANT SURGERY DUE TO INABILITY TO ACCESS THE AREA. IT WAS DURING THIS PROCEDURE THAT THE PHYSICIAN FOUND THE LEAD ANCHOR WAS DETACHED AND SUPERFICIAL. THE PHYSICIAN STATED THAT THE CLIK ANCHOR USED TO SECURE THE LEAD COULD HAVE CONTRIBUTED TO THE INFECTION.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CLINICAL STUDY PATIENT EXPERIENCED MILD POSTPROCEDURAL COMPLICATIONS OF A SUSPECTED INFECTION OF THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITES. THE PATIENT WAS ADMINISTERED MEDICATION AND THE DEVICE WAS REPROGRAMMED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTED WOUND AREA WAS DEBRIDED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTION PERSISTED AT THE THORACIC INCISION AS OPPOSED TO THE POCKET INCISION. THE PATIENT THEN UNDERWENT A SYSTEM EXPLANT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EVENT WAS ASSESSED TO BE RELATED TO THE PROCEDURE AND DEVICES.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CLINICAL STUDY PATIENT EXPERIENCED MILD POSTPROCEDURAL COMPLICATIONS OF A SUSPECTED INFECTION OF THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITES. THE PATIENT WAS ADMINISTERED MEDICATION AND THE DEVICE WAS REPROGRAMMED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE INFECTED WOUND AREA WAS DEBRIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
447381 WAVEWRITER ALPHA STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION SC-1232 562180 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 56 YR Male Required Intervention