FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22565585 · Received July 22, 2025

Report

Report Number
3006630150-2025-05737
Event Type
Injury
Date Received
July 22, 2025
Date of Event
July 15, 2024
Report Date
September 23, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, 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 Manufacturer Narrative · 0

CORRECTION TO THE INITIAL MDR IN BLOCK H11. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500 MODEL: SC-2218-50 SERIAL: (B)(6). BATCH: 7072297 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS RIGHT SPINAL CORD STIMULATION (SCS) LEAD MIGRATED AS REVEALED VIA X-RAY. THE PATIENT UNDERWENT A LEAD REPLACEMENT PROCEDURE. THE EXPLANTED DEVICE WILL NOT BE AVAILABLE FOR RETURN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS RIGHT SPINAL CORD STIMULATION (SCS) LEAD MIGRATED AS REVEALED VIA X-RAY. THE PATIENT UNDERWENT A LEAD REPLACEMENT PROCEDURE. THE EXPLANTED DEVICE WILL NOT BE AVAILABLE FOR RETURN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1755861 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7071860

Patients

Seq Age Sex Outcome Treatment
1 67 YR Male Required Intervention