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 |