FDA Adverse Event Malfunction Summary report: N

INFINION? CX

MDR report key: 22894142 · Received August 26, 2025

Report

Report Number
3006630150-2025-06858
Event Type
Malfunction
Date Received
August 26, 2025
Date of Event
June 13, 2025
Report Date
April 30, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729861638
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2408560. MODEL: SC-2317-70. SERIAL: (B)(6). BATCH: 7081157. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT UPON DEVICE INTERROGATION THE PATIENTS LEFT SPINAL CORD STIMULATION (SCS) LEAD HAD FRACTURED FOLLOWING A NON-DEVICE RELATED INCIDENT. A LOSS OF THERAPY IN THE LEFT SIDE OF HER BACK AND LEFT LEG WAS ALSO NOTED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT UNDERWENT A LEAD REPLACEMENT PROCEDURE. THE PATIENT WAS DOING WELL POSTOPERATIVELY. ADDITIONAL INFORMATION WAS RECEIVED THAT THE EXPLANTED LEADS WERE NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT UPON DEVICE INTERROGATION THE PATIENTS LEFT SPINAL CORD STIMULATION (SCS) LEAD HAD FRACTURED FOLLOWING A NON-DEVICE RELATED INCIDENT. A LOSS OF THERAPY IN THE LEFT SIDE OF HER BACK AND LEFT LEG WAS ALSO NOTED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT UNDERWENT A LEAD REPLACEMENT PROCEDURE. THE PATIENT WAS DOING WELL POSTOPERATIVELY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE UPON DEVICE INTERROGATION THE PATIENTS LEFT SPINAL CORD STIMULATION (SCS) LEAD HAD FRACTURED FOLLOWING A NON-DEVICE RELATED INCIDENT. A LOSS OF THERAPY IN THE LEFT SIDE OF HER BACK AND LEFT LEG WAS ALSO NOTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
717 INFINION? CX STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2317-70 7076665 08714729861638

Patients

Seq Age Sex Outcome Treatment
1 46 YR Female Required Intervention| O