FDA Adverse Event
Injury
Summary report: N
LINEAR? ST
MDR report key: 22847035
·
Received August 20, 2025
Report
- Report Number
- 3006630150-2025-06670
- Event Type
- Injury
- Date Received
- August 20, 2025
- Date of Event
- July 23, 2025
- Report Date
- August 20, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729784067
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC221850E0. MODEL: SC-2218-50E. SERIAL:(B)(6). BATCH: 7142939. UDI: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING PAIN AT THE LEAD SITE WHEN THE TRIAL PERIOD BEGAN. THE PATIENT UNDERWENT AN EARLY LEAD PULL PROCEDURE. THE PATIENT STILL REPORTED DISCOMFORT AT THE SITE HOWEVER IS DOING WELL UPON FOLLOW-UP. THE REMOVED LEADS WERE KEPT BY THE MEDICAL FACILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1408196 | LINEAR? ST | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2218-50E | 7142929 | 08714729784067 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 39 YR | Female | Required Intervention |