FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 23092906 · Received September 19, 2025

Report

Report Number
3006630150-2025-07768
Event Type
Injury
Date Received
September 19, 2025
Date of Event
July 6, 2025
Report Date
September 19, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED A MONTH AGO FROM THE DATE THE MANUFACTURER WAS MADE AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS. UPN: M365SC8216700. MODEL: SC-8216-70. SERIAL: (B)(6). BATCH: 7071428. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) WAS TAKING LONGER TO CHARGE AND THE LEADS HAD HIGH IMPEDANCES. THE PATIENT UNDERWENT AN IPG AND LEAD REPLACEMENT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED PRODUCTS WERE DISCARDED PER HOSPITAL POLICY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
269356 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 369149 08714729951254

Patients

Seq Age Sex Outcome Treatment
1 66 YR Female Required Intervention