FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22420716 · Received July 7, 2025

Report

Report Number
3006630150-2025-05242
Event Type
Injury
Date Received
July 7, 2025
Date of Event
April 30, 2025
Report Date
July 7, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: 5113726. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS GETTING SOME STIMULATION IN THE RIBS. THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN THE LEAD POSITION WAS ADJUSTED. THE PATIENT WAS DOING WELL POSTOPERATIVELY WITH FULL COVERAGE OF PAIN AREAS. THE LEAD REMAINS IMPLANTED AND IN USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
220059 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 5113776 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 72 YR Female Required Intervention