FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22894125 · Received August 26, 2025

Report

Report Number
3006630150-2025-06852
Event Type
Injury
Date Received
August 26, 2025
Date of Event
July 29, 2025
Report Date
August 26, 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
WA, 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: 7090383. UDI: (B)(4). PRODUCT FAMILY: SCS-IPG-R-MRI. UPN: M365SC12320. MODEL: SC-1232. SERIAL: (B)(6). BATCH: 575329. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A SHOCKING SENSATION WHEN BENDING HIS NECK. A MAGNETIC RESONANCE IMAGING (MRI) REVEALED A NEW CERVICAL DISC HERNIATION. THE PHYSICIAN ATTEMPTED TO ADJUST THE LEAD TO ALLEVIATE THE PATIENTS SENSATIONS BUT OPTED A SPINAL CORD STIMULATION (SCS) EXPLANT PROCEDURE. THE PATIENT WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE COMPONENTS WILL NOT BE RETURNED AS THEY WERE DISCARDED PER FACILITY POLICY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2723482 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-70 7090891 08714729767749

Patients

Seq Age Sex Outcome Treatment
1 39 YR Male Required Intervention