FDA Adverse Event Injury Summary report: N

COVEREDGE? 32

MDR report key: 22323327 · Received June 24, 2025

Report

Report Number
3006630150-2025-04816
Event Type
Injury
Date Received
June 24, 2025
Date of Event
May 14, 2025
Report Date
June 24, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729832669
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED THREE WEEKS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-PC, UPN: M365SC14320, MODEL: SC-1432, SERIAL: (B)(6), BATCH: 233618, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS PADDLE LEAD HAD MIGRATED WHICH WAS CONFIRMED THROUGH X-RAY. IT WAS ALSO NOTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) HAD HIGH IMPEDANCES. THE PATIENT UNDERWENT A PROCEDURE WHEREIN THE PADDLE LEAD AND IPG WERE REPLACED. THE PATIENT WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICES WERE NOT RETURNED AS THEY WERE NOT RELEASED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1997486 COVEREDGE? 32 STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-8336-50 7088468 08714729832669

Patients

Seq Age Sex Outcome Treatment
1 63 YR Female Required Intervention