FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 22671799 · Received July 30, 2025

Report

Report Number
3006630150-2025-05995
Event Type
Injury
Date Received
July 30, 2025
Date of Event
July 7, 2025
Report Date
July 30, 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
AS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: BRAND NAME: LINEAR? 3-4 UPN: M365SC2352700, MODEL: SC-2352-70, SERIAL: (B)(6), BATCH: 7078514. BRAND NAME: LINEAR? 3-4 UPN: M365SC2352700, MODEL: SC-2352-70, SERIAL: (B)(6), BATCH: 7080550.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A SUSPECTED INFECTION AT THE SPINAL CORD STIMULATION (SCS) IMPLANTABLE PULSE GENERATOR (IPG) SITE. OBSERVABLE WOUND OPENING, FLUID DISCHARGE, AND ODOR WERE PRESENT AT THE IPG WOUND SITE. THE WOUND WAS SWABBED, AND WHILE IT REMAINS UNKNOWN WHETHER ANTIBIOTICS WERE ADMINISTERED, THE SYSTEM WAS SUBSEQUENTLY EXPLANTED ONCE THE INFECTION WAS CONFIRMED. THE PATIENT WAS DISCHARGED FROM THE HOSPITAL AND RECOVERED POSTOPERATIVELY. THE DEVICES WERE NOT RETURNED AS THEY WERE DISCARDED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
514327 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 788075 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 34 YR Female Hospitalization| R