FDA Adverse Event Injury Summary report: N

INFINION? PRO

MDR report key: 21953859 · Received May 2, 2025

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

Additional Manufacturer Narrative · 0

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).

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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