INFINION? PRO
Report
- Report Number
- 3006630150-2025-03012
- Event Type
- Injury
- Date Received
- May 2, 2025
- Date of Event
- April 8, 2025
- Report Date
- May 23, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 00191506018733
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-PC UPN: M365SC14160, MODEL: SC-1416, SERIAL: (B)(6), BATCH: 232273, UDI: (B)(4).
IT WAS REPORTED THAT THE PATIENT HAD AN ACTIVE INFECTION DUE TO HEALING IMPAIRMENT AT THE MIDLINE INCISION SITE. THE PATIENT WENT TO ER AND WAS ADMINISTERED IV ANTIBIOTICS. THE PATIENT UNDERWENT A SPINAL CORD STIMULATION (SCS) REPLACEMENT PROCEDURE. NO FURTHER INFORMATION HAD BEEN OBTAINED. ADDITIONAL INFORMATION WAS RECEIVED THAT PATIENT WAS IMPLANTED WITH A PADDLE LEAD AND A NON-RECHARGEABLE IMPLANTABLE PULSE GENERATOR (IPG). PER PHYSICIAN THIS IS DUE TO PATIENT HAVING A HARD TIME HEALING. THE PATIENT STILL IN THE HOSPITAL AND BEING MONITORED. THE EXPLANTED DEVICE WILL NOT BE RETURNED.
IT WAS REPORTED THAT THE PATIENT HAD AN ACTIVE INFECTION DUE TO HEALING IMPAIRMENT AT THE MIDLINE INCISION SITE. THE PATIENT WENT TO ER AND WAS ADMINISTERED IV ANTIBIOTICS. THE PATIENT UNDERWENT A SPINAL CORD STIMULATION (SCS) REPLACEMENT PROCEDURE. NO FURTHER INFORMATION HAD BEEN OBTAINED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 905508 | INFINION? PRO | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2318-70 | 5003672 | 00191506018733 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Female | Hospitalization| R |