FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 23059767 · Received September 15, 2025

Report

Report Number
3006630150-2025-07638
Event Type
Injury
Date Received
September 15, 2025
Date of Event
June 23, 2025
Report Date
September 15, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
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

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: 7130379. UDI: (B)(4).

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 POST OPERATIVELY AND THE LEADS REMAIN IMPLANTED AND IN USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295117 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7126663 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 55 YR Female Required Intervention