FDA Adverse Event
Injury
Summary report: N
WAVEWRITER ALPHA?
MDR report key: 23241117
·
Received October 7, 2025
Report
- Report Number
- 3006630150-2025-08532
- Event Type
- Injury
- Date Received
- October 7, 2025
- Date of Event
- September 15, 2025
- Report Date
- October 7, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2318700 MODEL: SC-2318-70 SERIAL: (B)(6) BATCH: 5003723 UDI: (B)(4). PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2318700 MODEL: SC-2318-70 SERIAL: (B)(6) BATCH: 5004577 UDI: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT DEVELOPED AN INFECTION WHICH THE PHYSICIAN BELIEVED WAS NOT DEVICE OR PROCEDURE RELATED. THE PHYSICIAN INSPECTED AND CLEANED OUT BOTH THE MIDLINE AND POCKET INCISION SITES. NO HARDWARE WAS COMPROMISED OR REMOVED. THE PATIENT WAS DOING WELL POSTOPERATIVELY AND WAS ADMINISTERED WITH ANTIBIOTICS. THE DEVICE REMAINS IMPLANTED AND IN USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2583914 | WAVEWRITER ALPHA? | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-1232 | 796013 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 52 YR | Female | Required Intervention |