FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 23033100 · Received September 11, 2025

Report

Report Number
3006630150-2025-07509
Event Type
Injury
Date Received
September 11, 2025
Date of Event
June 19, 2025
Report Date
April 3, 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
CO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION RESULTS: THE DEVICE WAS NOT RETURNED FOR ANALYSIS; THEREFORE, A TECHNICAL ANALYSIS COULD NOT BE PERFORMED. DEVICE HISTORY RECORD: IT WAS CONFIRMED THIS DEVICE MET MANUFACTURING SPECIFICATION PRIOR TO DISTRIBUTION AND THERE WERE NO MANUFACTURING DEVIATIONS WHICH COULD HAVE CONTRIBUTED TO THE REPORTED EVENT. INVESTIGATION CONCLUSION: BASED ON ALL AVAILABLE INFORMATION, BOSTON SCIENTIFIC HAS ASSIGNED AN INVESTIGATION CONCLUSION CODE OF UNABLE TO EXCLUDE DEVICE PROBLEM.

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: 7153284. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEAD WIRES WERE CUT AND REMOVED DURING PATIENTS PREVIOUS SURGERY. IT WAS UNKNOWN IF THE SURGERY WAS DEVICE RELATED. NO FURTHER INFORMATION COULD BE OBTAINED DESPITE GOOD FAITH EFFORTS. ADDITIONAL INFORMATION WAS RECEIVED THAT THEY REMOVED THE LEADS, SO EVERYTHING HAS NOW BEEN EXPLANTED. THE EXPLANTED DEVICE, NOTHING TO RETURN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEAD WIRES WERE CUT AND REMOVED DURING PATIENTS PREVIOUS SURGERY. IT WAS UNKNOWN IF THE SURGERY WAS DEVICE RELATED. NO FURTHER INFORMATION COULD BE OBTAINED DESPITE GOOD FAITH EFFORTS. ADDITIONAL INFORMATION WAS RECEIVED THAT EVERYTHING WAS EXPLANTED. THE EXPLANTED DEVICE COMPONENTS WILL NOT BE RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEAD WIRES WERE CUT AND REMOVED DURING PATIENT'S PREVIOUS SURGERY. IT WAS UNKNOWN IF THE SURGERY WAS DEVICE RELATED. NO FURTHER INFORMATION COULD BE OBTAINED DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2305442 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7131888 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 70 YR Male Required Intervention