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