FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22825734 · Received August 18, 2025

Report

Report Number
3006630150-2025-06595
Event Type
Injury
Date Received
August 18, 2025
Date of Event
July 28, 2025
Report Date
August 18, 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
UT, 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 SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218700 MODEL: SC-2218-70 SERIAL: (B)(6). BATCH: 7102303. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT SPINAL CORD STIMULATOR (SCS) LEAD REVISION PROCEDURE WHEREIN THE LEAD WAS ADJUSTED AND REMAINS IMPLANTED AND IN USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2043643 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-70 7105925 08714729767749

Patients

Seq Age Sex Outcome Treatment
1 72 YR Female Required Intervention