FDA Adverse Event Injury Summary report: N

INFINION? PRO

MDR report key: 22953952 · Received September 3, 2025

Report

Report Number
3006630150-2025-07164
Event Type
Injury
Date Received
September 3, 2025
Date of Event
January 8, 2025
Report Date
April 23, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
QRB
UDI-DI
00191506018726
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CORRECTION TO THE INITIAL MDR IN BLOCK B5 AND H6. BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED IN APPROXIMATELY RIGHT SHORTLY AFTER THE IMPLANT PROCEDURE FROM DATE MANUFACTURER WAS MADE AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2318500. MODEL: SC-2318-50. SERIAL: (B)(6). BATCH: (B)(6). UDI: (B)(4).

Additional Manufacturer Narrative · 0

BLOCK D2B: PRO CODE: QRB BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED IN APPROXIMATELY RIGHT SHORTLY AFTER THE IMPLANT PROCEDURE FROM DATE MANUFACTURER WAS MADE AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2318500, MODEL: SC-2318-50, SERIAL: (B)(6), BATCH: 5000964, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS FEELING STIMULATION IN THE LEFT CHEST AND NO PAIN RELIEF. IT WAS NOTED THAT THE SPINAL CORD STIMULATION (SCS) LEADS MIGRATED WHICH WAS CONFIRMED WITH IMAGING. THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN THE LEADS WERE REPOSITIONED. THE PATIENT WAS DOING WELL POSTOPERATIVELY, AND THE LEADS REMAIN IMPLANTED AND IN USE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEADS MIGRATED WHICH WAS CONFIRMED WITH IMAGING. THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN THE LEADS WERE REPOSITIONED. THE PATIENT WAS DOING WELL POSTOPERATIVELY AND THE LEADS REMAIN IMPLANTED AND IN USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
198811 INFINION? PRO STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF QRB BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2318-50 5001110 00191506018726

Patients

Seq Age Sex Outcome Treatment
1