FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 22470218 · Received July 10, 2025

Report

Report Number
3006630150-2025-05343
Event Type
Injury
Date Received
July 10, 2025
Date of Event
May 29, 2025
Report Date
July 10, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985099
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

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2218700, MODEL: SC-2218-70, SERIAL: (B)(6), BATCH: 7101282/7101226/7101370/7101588, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A BURNING SENSATION AND HOT TO THE TOUCH AT THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITE. ALL COMPONENTS WERE EXPLANTED AND DISCARDED PER HOSPITAL POLICY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1279619 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 573511 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 45 YR Female Required Intervention