FDA Adverse Event Injury Summary report: N

COVEREDGE? MRI

MDR report key: 23089934 · Received September 18, 2025

Report

Report Number
3006630150-2025-07747
Event Type
Injury
Date Received
September 18, 2025
Date of Event
July 3, 2025
Report Date
September 18, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729995814
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-IPG-PC UPN: M365SC14320 , MODEL: SC-1432, SERIAL: (B)(6), BATCH: 230502, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPINAL CORD STIMULATOR (SCS) PADDLE LEAD HAD MIGRATED OUT OF THE EPIDURAL SPACE DUE TO THE IMPLANTABLE PULSE GENERATOR (IPG) HAD SPUN IN THE POCKET CAUSING THE PATIENT TO EXPERIENCE PAIN. IT WAS NOTED THAT THE DEVICE MIGRATION WAS CONFIRMED THRU X-RAY IMAGING. THE PATIENT UNDERWENT A LEAD REPLACEMENT AND IPG REPOSITIONING PROCEDURE, WAS DOING WELL POSTOPERATIVELY AND THE EXPLANTED DEVICE WAS KEPT BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2841491 COVEREDGE? MRI STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-8436-50 7089429 08714729995814

Patients

Seq Age Sex Outcome Treatment
1 81 YR Female Required Intervention