FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 23262812 · Received October 9, 2025

Report

Report Number
3006630150-2025-08646
Event Type
Injury
Date Received
October 9, 2025
Date of Event
August 18, 2025
Report Date
November 14, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2218500, MODEL: SC-2218-50, SERIAL: (B)(6), BATCH: 7163039, UDI: (B)(4). PRODUCT FAMILY: SCS-LEAD FIXATION, UPN: M365SC43180, MODEL: SC-4318, BATCH: 36390238, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT ONE OF THE PATIENTS SPINAL CORD STIMULATION (SCS) LEAD HAD MIGRATED OUT OF THE EPIDURAL SPACE WHICH WAS CONFIRMED WITH IMAGING. LOSS OF COVERAGE FROM THE DEVICE WAS ALSO NOTED. THE PATIENT UNDERWENT A LEAD REPLACEMENT PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT ONE OF THE PATIENTS SPINAL CORD STIMULATION (SCS) LEAD HAD MIGRATED OUT OF THE EPIDURAL SPACE WHICH WAS CONFIRMED WITH IMAGING. LOSS OF COVERAGE FROM THE DEVICE WAS ALSO NOTED. THE PATIENT UNDERWENT A LEAD REPLACEMENT PROCEDURE. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE WILL NOT BE RETURNED AS IT WAS KEPT BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303598 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7163122 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 75 YR Female Required Intervention