FDA Adverse Event
Injury
Summary report: N
LINEAR? ST
MDR report key: 22870155
·
Received August 22, 2025
Report
- Report Number
- 3006630150-2025-06744
- Event Type
- Injury
- Date Received
- August 22, 2025
- Date of Event
- July 31, 2025
- Report Date
- August 22, 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
- FL, 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: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: 7163255. UDI: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING PATIENT'S IMPLANT PROCEDURE, THE PHYSICIAN BELIEVED THAT A WET TAP OCCURRED AND PERFORMED A BLOOD PATCH. THERE WERE NO REPORTED COMPLICATIONS POSTOPERATIVELY AND THE PATIENT DID NOT HAVE ANY OTHER ADVERSE EFFECTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1558029 | LINEAR? ST | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2218-50 | 7157194 | 08714729767725 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female | Required Intervention |