FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 22922570 · Received August 29, 2025

Report

Report Number
3006630150-2025-07009
Event Type
Injury
Date Received
August 29, 2025
Date of Event
October 21, 2024
Report Date
January 12, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AR, 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: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: 7111508. UDI: (B)(4). PRODUCT FAMILY: SCS-IPG-R-MRI. UPN: M365SC12160. MODEL: SC-1216. SERIAL: (B)(6). BATCH: 547083. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS SCHEDULED FOR REVISION BUT WAS CANCELED DUE TO STAPHYLOCOCCUS AUREUS INFECTION. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT UNDERWENT REPLACEMENT PROCEDURE AND IS DOING WELL POSTOPERATIVELY. THE PATIENT HAS FULL PARESTHESIA COVERAGE OF HIS PAIN AREAS. THE EXPLANTED DEVICE COMPONENTS WERE NOT RETURN AS IT WAS DISPOSED BY THE CENTER.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING INADEQUATE PAIN RELIEF DUE TO SPINAL CORD STIMULATION (SCS) LEAD HAD MIGRATED. THE PATIENT WAS SCHEDULED FOR REVISION BUT WAS CANCELED DUE TO STAPHYLOCOCCUS AUREUS INFECTION. NO FURTHER INFORMATION HAS BEEN OBTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2222570 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7111375 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Required Intervention