FDA Adverse Event
Injury
Summary report: N
LINEAR? ST
MDR report key: 23044492
·
Received September 12, 2025
Report
- Report Number
- 3006630150-2025-07575
- Event Type
- Injury
- Date Received
- September 12, 2025
- Date of Event
- August 20, 2025
- Report Date
- September 12, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC221850E0, MODEL: SC-2218-50E, SERIAL: (B)(6), BATCH: 7160439, UDI: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT HAD AN EARLY SPINAL CORD STIMULATION (SCS) LEAD PULL DUE TO SEVERE COMPLICATIONS. THE PATIENT BEGAN TO EXPERIENCE WEAKNESS AND PAIN ON THE LEFT SIDE, WHICH WAS OPPOSITE TO THE LEAD PLACEMENT. THE PATIENT ALSO REPORTED SEVERE NAUSEA AND VOMITING WHILE THE STIMULATOR WAS ACTIVE, ALONG WITH DISCOMFORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2700208 | LINEAR? ST | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2218-50E | 7160329 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 78 YR | Male | Required Intervention |