FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22671809 · Received July 30, 2025

Report

Report Number
3006630150-2025-05999
Event Type
Injury
Date Received
July 30, 2025
Date of Event
April 9, 2025
Report Date
July 30, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
ND, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED THREE MONTHS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500 MODEL: SC-2218-50 SERIAL: (B)(6) BATCH: 7121995 UDI: (B)(4), ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-R-MRI UPN: M365SC12160 MODEL: SC-1216 SERIAL: (B)(6) BATCH: 565905 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEADS OF THE PATIENT WERE EXPOSED OUTSIDE OF THE SKIN. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR (SCS) EXPLANT PROCEDURE. THE EXPLANTED DEVICES WERE KEPT BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
515250 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7116251 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 78 YR Male Required Intervention