INFINION? CX
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 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).
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.
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.
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 |