FDA Adverse Event Malfunction Summary report: N

LINEAR? ST

MDR report key: 21912918 · Received April 25, 2025

Report

Report Number
3006630150-2025-02807
Event Type
Malfunction
Date Received
April 25, 2025
Date of Event
April 2, 2025
Report Date
August 24, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767749
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SC-2218-70 (SN (B)(6)): THE RETURNED LEAD WAS ANALYZED AND WITH ALL THE AVAILABLE INFORMATION, BOSTON SCIENTIFIC CONCLUDES THAT THE REPORTED EVENT WAS NOT CONFIRMED. THE CLEAN-CUT DAMAGE IS A RESULT OF A TYPICAL EXPLANT PROCEDURE, AND IT IS NOT CONSIDERED A FAILURE. HOWEVER, A LABELLING REVIEW FOUND THAT THE REPORTED EVENT IS A KNOWN RISK OF IMPLANTING A PULSE GENERATOR AS PART OF A SYSTEM TO DELIVER SPINAL CORD STIMULATION. SC-1416 (SN (B)(6)): THE RETURNED IPG WAS ANALYZED, PASSED ALL TESTS PERFORMED, AND EXHIBITED NORMAL DEVICE CHARACTERISTICS. THE REPORTED EVENT WAS NOT CONFIRMED. AN ANALYSIS OF THE DATA LOG INDICATES THAT THE IPG HAS NOT REACHED THE END OF ITS LIFE, AS THE BATTERY VOLTAGE REMAINS WITHIN THE REQUIRED THRESHOLD, AND THE IPG EXHIBITED TYPICAL CHARACTERISTICS DURING THE FUNCTIONAL ASSESSMENT.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2218700, MODEL: SC-2218-70, SERIAL: (B)(6), BATCH: 7087950, UDI:(B)(4). PRODUCT FAMILY: SCS-IPG-PC UPN: M365SC14160, MODEL: SC-1416, SERIAL: (B)(6), BATCH: 213231, UDI:(B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENTS LEADS HAD MIGRATED AND WAS FRACTURED AFTER A FALL. THE LEADS HAD HIGH IMPEDANCES AND PATIENT EXPERIENCED INADEQUATE STIMULATION. THE IMPLANTABLE PULSE GENERATOR (IPG) WAS NON-FUNCTIONAL. ALL COMPONENTS WERE EXPLANTED, AND PATIENT WAS DOING WELL POSTOPERATIVELY.

Description of Event or Problem · 0

IT WAS REPORTED THAT PATIENTS LEADS HAD MIGRATED AND WAS FRACTURED AFTER A FALL. THE LEADS HAD HIGH IMPEDANCES AND PATIENT EXPERIENCED INADEQUATE STIMULATION. THE IMPLANTABLE PULSE GENERATOR (IPG) WAS NON-FUNCTIONAL. ALL COMPONENTS WERE EXPLANTED, AND PATIENT WAS DOING WELL POSTOPERATIVELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
346253 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-70 7087633 08714729767749

Patients

Seq Age Sex Outcome Treatment
1 45 YR Female Required Intervention