FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 22347273 · Received June 27, 2025

Report

Report Number
3006630150-2025-04924
Event Type
Injury
Date Received
June 27, 2025
Date of Event
March 4, 2025
Report Date
June 27, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED A FEW MONTHS AGO FROM THE DATE THE MANUFACTURER WAS MADE AWARE. D6B: EXPLANT DATE: FEW MONTHS AGO FROM THE AWARE DATE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DEVICE MADE THE PATIENTS ARACHNOIDITIS WORSE. THE PATIENT UNDERWENT AN EXPLANT PROCEDURE. NO FURTHER INFORMATION HAS BEEN OBTAINED DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1127371 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 341415 08714729951254

Patients

Seq Age Sex Outcome Treatment
1 64 YR Male Required Intervention