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 |