FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 22704304 · Received August 4, 2025

Report

Report Number
3006630150-2025-06136
Event Type
Injury
Date Received
August 4, 2025
Date of Event
July 7, 2025
Report Date
May 26, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
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

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT(S) INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2317500, MODEL: SC-2317-50, SERIAL: (B)(6), BATCH: 5144202. PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL: (B)(6), BATCH: 5140875.

Description of Event or Problem · 0

IT WAS REPORTED BY THE PATIENT THAT THEY UNDERWENT SPINAL CORD STIMULATOR (SCS) DEVICE EXPLANT PROCEDURE. IT WAS REPORTED BY THE PATIENT THEY COULD NOT REMEMBER THE REASON FOR EXPLANT BUT REMEMBERS THEY HAD A STROKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
340219 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 348068 08714729951254

Patients

Seq Age Sex Outcome Treatment
1