FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? 16

MDR report key: 22950842 · Received September 3, 2025

Report

Report Number
3006630150-2025-07126
Event Type
Injury
Date Received
September 3, 2025
Date of Event
January 21, 2025
Report Date
September 2, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985082
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED FOUR MONTHS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500, MODEL: SC-2218-50, SERIAL: (B)(6), BATCH: 7133703, UDI: (B)(4). ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500 , MODEL: SC-2218-50, SERIAL: (B)(6), BATCH: 7134756, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED PAIN AND DISCOMFORT WHILE CHARGING THE IMPLANTABLE PULSE GENERATOR (IPG) DUE TO OVERHEATING. IT WAS NOTED THAT THE PATIENT HAD DIFFICULTY CHARGING THE IPG AND THE LEAD HAD IMPEDANCE. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR (SCS) REPLACEMENT PROCEDURE, WAS DOING WELL POSTOPERATIVELY AND THE EXPLANTED DEVICES WERE KEPT BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1733785 WAVEWRITER ALPHA? 16 STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1216 582393 08714729985082

Patients

Seq Age Sex Outcome Treatment
1 65 YR Female Required Intervention