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