FDA Adverse Event Injury Summary report: N

ARTISAN?

MDR report key: 22294309 · Received June 19, 2025

Report

Report Number
3006630150-2025-04665
Event Type
Injury
Date Received
June 19, 2025
Date of Event
May 25, 2025
Report Date
December 19, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729779902
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK D6B: EXPLANT DATE UNKNOWN. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY SCS-IPG-PC, UPN M365SC14160, MODEL SC-1416, SERIAL-LOT (B)(6), BATCH 233764, UDI (B)(4).

Additional Manufacturer Narrative · 0

BLOCK D6B: EXPLANT DATE UNKNOWN. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY SCS-IPG-PC. UPN M365SC14160. MODEL SC-1416. SERIAL-LOT (B)(6). BATCH (B)(6). UDI (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT TWO DAYS FOLLOWING A SPINAL CORD STIMULATION (SCS) IMPLANT PROCEDURE, THE PATIENT WAS UNABLE TO MOVE THEIR LEGS AND WAS HOSPITALIZED. THE PHYSICIAN BELIEVES THE PATIENT MAY HAVE A HEMATOMA OR OTHER COMPLICATIONS FROM THE PROCEDURE CAUSING THE PATIENTS PARALYSIS SYMPTOMS. MAGNETIC RESONANCE IMAGING (MRI) WAS PERFORMED HOWEVER THE RESULTS ARE UNAVAILABLE. THE PATIENTS ENTIRE SCS SYSTEM WAS EXPLANTED. THE SURGEON DECOMPRESSED NECESSARY LEVELS OVER THE COURSE OF 2-3 SURGERIES PERFORMED AT TWO DIFFERENT FACILITIES. THE PATIENT IS AT AN INPATIENT REHABILITATION FACILITY, IS NON-AMBULATORY, AND IS WORKING WITH THERAPY TO REGAIN THE ABILITY TO WALK.

Description of Event or Problem · 0

IT WAS REPORTED THAT TWO DAYS FOLLOWING A SPINAL CORD STIMULATION (SCS) IMPLANT PROCEDURE, THE PATIENT WAS UNABLE TO MOVE THEIR LEGS AND WAS HOSPITALIZED. THE PHYSICIAN BELIEVES THE PATIENT MAY HAVE A HEMATOMA OR OTHER COMPLICATIONS FROM THE PROCEDURE CAUSING THE PATIENTS PARALYSIS SYMPTOMS. MAGNETIC RESONANCE IMAGING (MRI) WAS PERFORMED HOWEVER THE RESULTS ARE UNAVAILABLE. THE PATIENTS ENTIRE SCS SYSTEM WAS EXPLANTED. THE SURGEON DECOMPRESSED NECESSARY LEVELS OVER THE COURSE OF 2-3 SURGERIES PERFORMED AT TWO DIFFERENT FACILITIES. THE PATIENT IS AT AN INPATIENT REHABILITATION FACILITY, IS NON-AMBULATORY, AND IS WORKING WITH THERAPY TO REGAIN THE ABILITY TO WALK. ADDITIONAL INFORMATION WAS RECEIVED THAT THE EXPLANTED DEVICES WILL NOT BE RETURNED AS THEY WERE DISCARDED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
746882 ARTISAN? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-8216-50 7079232 08714729779902

Patients

Seq Age Sex Outcome Treatment
1 77 YR Male Hospitalization| R