FDA Adverse Event Injury Summary report: N

INFINION? CX

MDR report key: 23168110 · Received September 29, 2025

Report

Report Number
3006630150-2025-08080
Event Type
Injury
Date Received
September 29, 2025
Date of Event
May 1, 2025
Report Date
September 29, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK D2B: PRO CODE: QRB. BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED IN APPROXIMATELY MAY OF 2024 FROM DATE MANUFACTURER WAS MADE AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317500. MODEL: SC-2317-50. SERIAL: (B)(6). BATCH: 7080109. UDI: (B)(4). PRODUCT FAMILY: SCS-IPG-R-MRI. UPN: M365SC12320. MODEL: SC-1232. SERIAL: (B)(6). BATCH: 580224. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEADS HAD HIGH IMPEDANCES, AND THE PATIENT WAS EXPERIENCING INADEQUATE PAIN RELIEF. IMAGING CONFIRMED THAT THE LEADS MIGRATED. THE PATIENT WAS ALSO EXPERIENCING IMPLANTABLE PULSE GENERATOR (IPG) CHARGING DIFFICULTIES. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR (SCS) SYSTEM REVISION PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE COMPONENTS WELL NOT BE RETURNED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1944905 INFINION? CX STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2317-50 7079846

Patients

Seq Age Sex Outcome Treatment
1 41 YR Male Required Intervention