FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22671801 · Received July 30, 2025

Report

Report Number
3006630150-2025-05994
Event Type
Injury
Date Received
July 30, 2025
Date of Event
July 3, 2025
Report Date
July 30, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767749
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED DURING THE IMPLANT DATE PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218700, MODEL: SC-2218-70, SERIAL: (B)(6), BATCH: 7100765, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS HOSPITALIZED DUE TO SYMPTOMS RELATED TO DURAL PUNCTURE. THE PATIENT UNDERWENT A BLOOD PATCH PROCEDURE. NO FURTHER INFORMATION HAS BEEN OBTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
514329 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-70 7097255 08714729767749

Patients

Seq Age Sex Outcome Treatment
1 57 YR Male Required Intervention