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