FDA Adverse Event Injury Summary report: N

INFINION? CX

MDR report key: 21775215 · Received April 4, 2025

Report

Report Number
3006630150-2025-02161
Event Type
Injury
Date Received
April 4, 2025
Date of Event
March 9, 2025
Report Date
April 23, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729861614
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS; UPN: M365SC2317700; MODEL: SC-2317-70; SERIAL: (B)(6); BATCH: 7082890. UDI: (B)(4).

Additional Manufacturer Narrative · 0

CORRECTION TO THE INITIAL MDR IN BLOCK H6. D2B ADDITIONAL PRO CODE: QRB. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317700. MODEL: SC-2317-70. SERIAL: (B)(6). BATCH: (B)(6). UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENTS SPINAL CORD STIMULATOR LEADS HAD HIGH IMPEDANCES, AND THE PATIENT WAS EXPERIENCING LOSS OF PAIN RELIEF. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR LEAD REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICES WERE DISCARDED BY THE MEDICAL FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENTS SPINAL CORD STIMULATOR LEADS HAD HIGH IMPEDANCES, AND THE PATIENT WAS EXPERIENCING LOSS OF PAIN RELIEF. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR LEAD REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICES WERE DISCARDED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
476511 INFINION? CX STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2317-50 7080188 08714729861614

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male Required Intervention