FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22170998 · Received June 9, 2025

Report

Report Number
3006630150-2025-04092
Event Type
Injury
Date Received
June 9, 2025
Date of Event
April 24, 2025
Report Date
August 19, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, 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: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: 7162269. UDI: (B)(4).

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2218500. MODEL: SC-2218-50. (B)(6). UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS SPINAL CORD STIMULATION (SCS) PATIENT UNDERWENT A PROCEDURE TO ADDRESS LEADS MIGRATION, AS CONFIRMED BY X-RAY IMAGING. THE PATIENT UNDERWENT A LEADS REVISION PROCEDURE WHEREIN THEIR LEADS WERE EXPLANTED AND REPLACED. THE LEADS WILL NOT BE RETURNED FOR ANALYSIS. POSTOPERATIVELY, THE PATIENT WAS REPORTED AS STABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS SPINAL CORD STIMULATION (SCS) PATIENT UNDERWENT A PROCEDURE TO ADDRESS LEADS MIGRATION, AS CONFIRMED BY X-RAY IMAGING. THE PATIENT UNDERWENT A LEADS REVISION PROCEDURE WHEREIN THEIR LEADS WERE EXPLANTED AND REPLACED. THE LEADS WILL NOT BE RETURNED FOR ANALYSIS. POSTOPERATIVELY, THE PATIENT WAS REPORTED AS STABLE. ADDITIONAL INFORMATION WAS RECEIVED STATING THAT AS A CONSEQUENCE OF LEADS MIGRATION, THE PATIENT EXPERIENCED STIMULATION OUTSIDE OF THEIR TYPICAL PAIN PATTERN, AS WELL AS PAINFUL SENSATIONS AT THE END OF THE LEADS LOCATION DURING REPROGRAMMING ATTEMPTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1307631 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7162167 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 51 YR Female Required Intervention